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Teen with Rare Abdominal Blood Clot Heads Home

Thomas Spiotta

There are a lot of words you could use to describe Thomas Spiotta — hysterically funny, joyful, loving, an entertainer, and a Special Olympian are just a few offered by his mother, Jane. But these days, Thomas and his family can add another title to the list: Survivor.

Thomas, a 19-year-old high school student from Patchogue, has spent more than six weeks recovering at Stony Brook Children’s Hospital after an abdominal illness nearly took his life. Thanks to a team effort from surgeons, specialists and nurses at Stony Brook Children’s led by pediatric surgeon in chief Christopher Muratore, Thomas went home on Aug. 27. He is expected to make a full recovery.

Thomas Spiotta
Thomas Spiotta heads home.

Over the 4th of July weekend, Thomas, who has Down Syndrome, began to complain of stomach pain. His dad, Eugene, kept an eye on him, assuming it was just a simple stomach bug.

“When the pain didn’t go away, we figured that maybe it was a virus or he needed a bag of IV fluids,” said Eugene Spiotta, who is the assistant chief of the North Patchogue Fire Department. The Spiottas made a trip to their local emergency department, but Thomas was ultimately sent home after a series of tests were inconclusive.

At home, the pain worsened and Thomas’ condition progressively deteriorated over the next two weeks. Local medical professionals decided Stony Brook Children’s would be better able to address his needs.

“When we got to Stony Brook, it was like going from 0 to 100,” Eugene recalled. Ultimately, Dr. Muratore diagnosed Thomas with portal vein thrombosis, a blood clot in the major vein that carries blood from the intestines to the liver. Dr. Muratore explained that, just like a clog in household plumbing, a clot in the portal vein led to clotting in other smaller veins. Eventually, the intestines themselves were deprived of blood and began to die.

“When identified early, a clot can be treated with medication and other means that don’t involve surgery. But by the time Thomas got to us, his illness had already progressed so much that he was in danger of dying,” Dr. Muratore said. “We all have plenty of intestine in our body, but it’s still a limited supply. We had no choice but to operate to determine if the intestine was healthy or not. We determined that a fair amount of the intestine had died.”

Thomas underwent three surgeries at Stony Brook Children’s to remove three feet of his intestines and begin the healing process. Most of Thomas’ time in the hospital was spent in the Pediatric Intensive Care Unit.

As the Spiottas left the hospital, they were greeted by thunderous applause and cheers from dozens of Long Island firefighters, police officers and friends. Full of emotion, Thomas briefly covered his face with his hands before breaking into a wide grin and pumping his fists in celebration. Thomas was thrilled to give hugs and high fives to as many people as he could before climbing into his getaway vehicle — a North Patchogue fire truck.

“I missed home and seeing everyone,” said Thomas, who is looking forward to going back to school and getting a Slurpee. “But I’m glad to see everyone who came out here. Thanks to everyone at Stony Brook. They were really nice people.”

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