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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 127-129

Abdominal aortic thrombosis in a young male patient living with human immuno deficiency virus/acquired immune deficiency syndrome


1 Department of Medicine, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
2 Department of Post Internal, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
3 Department of Pathology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India

Correspondence Address:
Ajay Pal Singh
Olyai Hospital Campus, Hospital Road, Gwalior - 474 009, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.142113

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Background: Thrombotic event in Acquired Immune Deficiency Syndrome (AIDS) patients was a rare clinical entity prior to Highly Active Anti Retro Viral Therapy (HAART) era, but it is increasing. Aortic thrombosis, a rare fatal event, leads to arterial embolic events often due to thrombi associated with extensive underlying atherosclerosis. Case Presentation: We report a case of young male suffering from AIDS, presented with chronic diarrhea and abdominal pain. Patient was diagnosed as a case of partial abdominal aortic thrombosis. No familial predisposition or any other risk factor for thrombosis was identified. Treatment following intravenous heparin was started and later on switched to oral warfarin. After 10 days, he was devoid of symptoms and discharged on oral warfarin and Anti-Retro Viral Therapy (ART). Discussion: The current case report reinforces that similar situations are bound to arise again in the future. Clinicians should also consider etiologies other than infectious as cause of abdominal pain to prevent any catastrophe. Clinicians should be aware and alert of unprovoked thrombosis to promote timely treatment and prophylaxis.


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