Acute appendicitis with superior mesenteric vein septic thrombophlebitis.

Pi-Kai Chang, Kuo-Feng Hsu, Jyh-Cherng Yu, Yuan-Min Chang, De-Chuan Chan, Guo-Shiou Liao

Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA 2012 Apr

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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 © 2012. Published by Elsevier B.V.

Citation

Pi-Kai Chang, Kuo-Feng Hsu, Jyh-Cherng Yu, Yuan-Min Chang, De-Chuan Chan, Guo-Shiou Liao. Acute appendicitis with superior mesenteric vein septic thrombophlebitis. Journal of the Chinese Medical Association : JCMA. 2012 Apr;75(4):187-9