Acute appendicitis with superior mesenteric vein septic thrombophlebitis

被引：4
|
作者：
Chang, Pi-Kai [1 ]
Hsu, Kuo-Feng [1 ]
Yu, Jyh-Cherng [1 ]
Chang, Yuan-Min [1 ]
Chan, De-Chuan [1 ]
Liao, Guo-Shiou [1 ]
机构：
[1] Triserv Gen Hosp, Dept Surg, Div Gen Surg, Natl Def Med Ctr, Taipei 114, Taiwan
来源：
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION | 2012年 / 75卷 / 04期
关键词：
acute appendicitis; septic thrombophlebitis; superior mesenteric vein; PYLEPHLEBITIS; ANTICOAGULATION; COMPLICATION;
D O I：
10.1016/j.jcma.2012.02.012
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Septic thrombophlebitis of the superior mesenteric vein (SMV) is rarely caused by acute appendicitis. The clinical symptoms of SMV thrombophlebitis are varied and atypical, so the diagnosis is commonly delayed, resulting in a reported mortality rate of 30%-50%. We report a case of SMV septic thrombophlebitis caused by acute appendicitis in which the patient was successfully treated with surgical intervention, appropriate antibiotics, and anticoagulation therapy. A follow-up abdominal computed tomography scan after 3 months of treatment showed that the SMV thrombosis had been resolved. Copyright (C) 2012 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved.
引用
收藏
页码：187 / 189
页数：3
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