Superior mesenteric venous thrombosis complicating acute appendicitis A case report

被引：3

作者：

Gad, AbdAllah ^{[1
,2
]}

Hindi, Zakaria ^{[1
]}

Zahoor, Talal ^{[1
]}

Zock, Remy Zock A. ^{[1
]}

机构：

[1] Texas Tech Univ, Hlth Sci Ctr, Dept Internal Med, 701 West 5th St,Suite 3106, Odessa, TX 79763 USA

[2] Cairo Univ, Natl Canc Inst, Dept Biostat & Canc Epidemiol, Cairo, Egypt

来源：

MEDICINE | 2018年 / 97卷 / 25期

关键词：

appendicitis; mesenteric vein thrombosis; mesenteric venous thrombosis; superior mesenteric vein thrombosis; superior mesenteric venous thrombosis; SEPTIC THROMBOPHLEBITIS; DIAGNOSIS;

D O I：

10.1097/MD.0000000000011168

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rationale: Superior mesenteric venous thrombosis (SMVT) is a rare condition that carries high mortality. Very few cases have been reported of SMVT, complicating acute appendicitis. Early recognition requires a high index of suspicion and is crucial in successful treatment of such a life-threatening condition. Patient concerns: A 33-year-old male presents with a 4-day history of right lower abdominal pain, nausea and subjective fever. CT scan showed acute appendicitis and a central filling defect in the superior mesenteric vein. Diagnoses: Acute appendicitis complicated by SMVT. Interventions: Intravenous antibiotics, appendectomy, and anticoagulation. Outcomes: Repeat CT scan showed successful resolution of the SMVT at a 3-month follow up. Lessons: Clinical awareness and high index of suspicion are essential to diagnose and manage SMVT, a serious complication of acute appendicitis.

引用

页数：2

共 9 条

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