{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:18:09Z","timestamp":1789593489327,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A case of a 30-year-old woman with an end-stage renal disease and recently diagnosed with infective endocarditis, who presented with acute abdominal pain. An initial assessment of acute appendicitis was made. A CT scan of the abdomen showed a partially occluded superior mesenteric artery with radiographic evidence of ischaemia in an ileal loop. Intraoperatively, a 5\u20136\u2005cm segment of the distal ileum was found to be non-viable. The segment was resected with the creation of a double-barrel ileostomy. This case report draws attention to the question of a need for anticoagulation for a septic embolus in the superior mesenteric artery. We could not find evidence on the use of postoperative anticoagulation in this scenario. In this case, the patient was started on oral anticoagulation.<\/jats:p>","DOI":"10.1136\/bcr-2013-009741","type":"journal-article","created":{"date-parts":[[2013,6,17]],"date-time":"2013-06-17T03:24:11Z","timestamp":1371439451000},"page":"bcr2013009741","source":"Crossref","is-referenced-by-count":4,"title":["Acute mesenteric ischaemia with infective endocarditis: is there a role for anticoagulation?"],"prefix":"10.1136","volume":"2013","author":[{"given":"Muhammad","family":"Waqas","sequence":"first","affiliation":[{"name":"Department of Surgery, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahan","family":"Waheed","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zishan","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir Hafeez","family":"Shariff","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,6,17]]},"reference":[{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.1","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1001\/archinte.164.10.1054","article-title":"Acute mesenteric ischemia: a clinical review","volume":"2013","author":"Oldenburg","year":"2004","journal-title":"Arch Intern Med"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1053\/bega.2000.0157","article-title":"Acute intestinal ischaemia","volume":"2013","author":"Lock","year":"2001","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.3","first-page":"2369","article-title":"Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer","volume":"2013","author":"Habib","year":"2009","journal-title":"Eur Heart J"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.4","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1093\/icvts\/ivs365","article-title":"What size of vegetation is an indication for surgery in endocarditis?","volume":"2013","author":"Okonta","year":"2012","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.5","doi-asserted-by":"crossref","first-page":"415","DOI":"10.5761\/atcs.cr.10.01598","article-title":"Septic embolic occlusion of the superior mesenteric artery induced by mitral valve endocarditis","volume":"2013","author":"Misawa","year":"2011","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1093\/oxfordjournals.eurheartj.a015315","article-title":"Incidence and prognosis of embolic events and metastatic infections in infective endocarditis","volume":"2013","author":"Millaire","year":"1997","journal-title":"Eur Heart J"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.7","first-page":"806","article-title":"Mitral valve endocarditis caused by ulcerative colitis followed by septic embolic occlusion of the superior mesenteric artery","volume":"2013","author":"Eickhoff","year":"2009","journal-title":"Eur J Echocardiogr"},{"key":"2025082707180580000_2013.jun16_1.bcr2013009741.8","unstructured":"Goldman L Schafer AI , eds. Goldman's cecil medicine. 24th edn. Maryland Heights, MO: Elsevier, 2011:929."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:18:15Z","timestamp":1756304295000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,17]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-009741"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009741","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,17]]}}}