Open AccessSeptic thrombophlebitis of the porto-mesenteric veins as a complication of acute appendicitis
Author(s) -
Yeon Soo Chang,
Sun Young Min,
Sun Hyung Joo,
Suk-Hwan Lee
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.4580
Subject(s) - medicine , thrombophlebitis , portal vein thrombosis , mesenteric vein , complication , appendicitis , inferior mesenteric vein , diverticulitis , abdominal pain , radiology , superior mesenteric vein , thrombosis , surgery , portal vein
Pylephlebitis, a rare complication of acute appendicitis, is defined as thrombophlebitis of the portal venous system. Pylephlebitis usually occurs due to secondary infection in the region drained into the portal system. We report a case of pylephlebitis caused by acute appendicitis. The patient was transferred from a private clinic 1 wk after appendectomy with the chief complaints of high fever and abdominal pain. He was diagnosed with pylephlebitis of the portal vein and superior mesenteric vein by CT-scan. The patient was treated with antibiotics and anticoagulation therapy, and discharged on the 25th day and follow-up CT scan showed a cavernous transformation of portal thrombosis.