{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:37:06Z","timestamp":1777448226998,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Acute mesenteric ischemia is rare and can be difficult to diagnose due to vague symptoms often endorsed by patients. It can be fatal if not discovered in time, as it can lead to bowel ischemia, sepsis, and ultimately death. Here, we present a case of a 23-year-old female with hepatic steatosis, obesity, and 5-year history of birth control use who developed acute mesenteric ischemia secondary to superior mesenteric venous (SMV) thrombosis, requiring small bowel resection of 238\u00a0cm out of 480\u00a0cm (49.5%) after delay in diagnosis. Hypercoagulable and genetic workup during admission later revealed heterozygous factor V Leiden (FVL) mutation. The patient was ultimately discharged to inpatient rehabilitation on anticoagulation.<\/jats:p>","DOI":"10.1177\/00031348231162706","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T19:34:57Z","timestamp":1678822497000},"page":"3566-3567","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Hypercoagulable Factors Attributing to Superior Mesenteric Vein Thrombosis and Acute Mesenteric Ischemia"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2808-3023","authenticated-orcid":false,"given":"Alexandra L.","family":"Van Horn","sequence":"first","affiliation":[{"name":"Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexa P.","family":"Soult","sequence":"additional","affiliation":[{"name":"Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"bibr1-00031348231162706","unstructured":"Sulger E, Dhaliwal HS, Goyal A, Gonzalez L. Mesenteric venous thrombosis \u2013 statpearls \u2013 NCBI bookshelf. National Library of Medicine. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459184\/. Published July 18, 2022. Accessed September 25, 2022."},{"key":"bibr2-00031348231162706","unstructured":"Guillen B, Atherton NS. Short bowel syndrome \u2013 statpearls \u2013 NCBI bookshelf. National Library of Medicine. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK536935\/#:\u223c:text=Short-bowel-syndrome%20(SBS)-in,for-nutritional-and-fluid-supplements. Published July 26, 2022. Accessed September 25, 2022."},{"key":"bibr3-00031348231162706","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S124625"},{"key":"bibr4-00031348231162706","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i43.7813"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231162706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231162706","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231162706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:22Z","timestamp":1777379842000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231162706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":4,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/00031348231162706"],"URL":"https:\/\/doi.org\/10.1177\/00031348231162706","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,14]]}}}