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Acute appendicitis with superior mesenteric vein septic thrombophlebitis
Author(s) -
Pi-Kai Chang,
KuoFeng Hsu,
JyhCherng Yu,
Yuan-Min Chang,
De-Chuan Chan,
GuoShiou Liao
Publication year - 2012
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.535
H-Index - 42
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1016/j.jcma.2012.02.012
Subject(s) - medicine , thrombophlebitis , superior mesenteric vein , radiology , mesenteric vein , acute appendicitis , thrombosis , appendicitis , surgery , portal vein
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.

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