Abstracts – 2008 - Obstetricia Crítica

and sluggish venous flow. This syndrome places patients at increased risk ofproximal deep venous thrombosis. CASES: We describe three postpartumpatients with May-Thurner Syndrome complicated by iliofemoral deep veinthrombosis and their management. There was no evidence of underlyingthrombophilia, yet these women had large proximal thrombi. They were treatedwith anticoagulation followed by thrombolysis and, in one case, stent placement.CONCLUSION: May-Thurner syndrome can predispose postpartum patients tolarge, proximal thrombi and may be treated effectively with a combination ofthrombolysis and stent placement. May-Thurner Syndrome should be consideredin the differential diagnosis of pelvic thrombosis, especially when thrombophiliasare excluded.Obstet Gynecol. 2008 Feb;111(2 Pt 2):540-1.Acute esotropia after epidural anesthesia.Yatziv Y, Stolowitch C, Segev Y, Kesler A.Department of Ophthalmology, Tel Aviv Sourasky Medical Center,Tel AvivUniversity, Tel Aviv, Israel. yyatziv@gmail.comBACKGROUND: Cranial nerve palsy after dural puncture is an uncommoncomplication. The sixth cranial nerve is the most commonly affected because ofits long intracranial course. We report a case of acute comitant esotropia thatoccurred after unintentional dural puncture. CASE: A young woman presentedwith acute onset comitant esotropia 1 week after epidural anesthesia for a normalvaginal delivery during which the dura was unintentionally punctured. Magneticresonance imaging revealed diffuse pachymeningeal enhancement, typicallyseen after dural puncture. Resolution was spontaneous. CONCLUSION:Puncture of the dura should be considered when acute strabismus is diagnosedshortly after epidural anesthesia.Obstet Gynecol. 2008 Feb;111(2 Pt 2):535-7.Postpartum thrombosis of the superior mesenteric artery after vaginaldelivery.Ducarme G, Lidove O, Leduey A, Geffroy A, Panis Y, Castier Y, Luton D.Departments of Obstetrics, Hôpital Beaujon, Assistance Publique-Hôpitaux deParis, Université Paris, Clichy, France. g.ducarme@gmail.comBACKGROUND: Several causes of severe and acute postpartum abdominal pain(pelvic infection, complications of pelvic thromboembolism, arterial ischemia)require early diagnosis and prompt therapy. CASE: Eight days after a normalvaginal delivery, a 38-year-old woman presented with severe acute abdominalpain that had been going on for 3 days. Abdominal computed tomographyshowed a superior mesenteric artery thrombosis with suggested ileal wallischemia. An emergency thrombectomy associated with ileal resection andileostomy were performed. No identifiable source of embolism, hemostaticdisorder, systemic vasculitis, or systemic disease associated with thrombosiswas found. CONCLUSION: Even after a vaginal delivery, the postpartum periodis associated with an increased risk of complications of thromboembolism. In the