22 yr old Female, previously had Portal vein thrombosis and mesenteric ischemia. No reason for this found. Month after being treated, Bowel perf and resection needed. On warfarin for life. Suffers ongoing abdominal pain, sickness or nausea most days, made worse through eating or drinking. Endoscopy and sigmoidoscopy clear, bloods fine.
The presentations makes me think about some pro thrombotic condition, probably Anti Phospholipid anti body syndrome (APS). (MY OPINION)
Anticardiolipen and coagulation profile must ordered