Paralytic Ileus as a Presentation of Antiphospholipid Syndrome in a Patient with Renal Angiomyolipoma: A Case Report

Jacinda Risha Oktaviani, Nicholas Andrian Singgih, Raden Honggo Pranowo Sampurno Secodiningrat, Budiawan Atmadja, E. Manuputty
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Abstract

Antiphospholipid syndrome (APS) is one of the many causes of hypercoagulability which often presents with vascular thrombosis in the presence of antiphospholipid antibodies. Symptoms vary depending on the location of the thrombosis. Gastrointestinal symptoms such as paralytic ileus is one of the rare symptoms in APS. The main therapy for APS is use of anticoagulants, but this becomes difficult when there is ongoing bleeding. We report a successful but challenging treatment of a 42-year-old patient who presented with paralytic ileus due to APS with cofounded on-going renal bleeding caused by renal angiomyolipoma.
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一名肾血管肌脂肪瘤患者因抗磷脂综合征而出现麻痹性回肠炎:病例报告
抗磷脂综合征(APS)是导致高凝状态的多种原因之一,通常在抗磷脂抗体存在的情况下表现为血管血栓形成。症状因血栓形成的部位而异。麻痹性回肠炎等胃肠道症状是 APS 的罕见症状之一。APS 的主要治疗方法是使用抗凝剂,但如果持续出血,抗凝剂的使用就变得十分困难。我们报告了一名 42 岁患者的成功治疗案例,该患者因 APS 引起麻痹性回肠炎,同时伴有肾血管肌脂肪瘤引起的持续性肾出血,治疗过程充满挑战。
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