Superior mesenteric venous thrombosis complicating acute appendicitis: A case report. Issue 25 (June 2018)

• Record Type: Journal Article
• Authors: Gad, AbdAllah; Hindi, Zakaria; Zahoor, Talal; Zock, Rémy Zock À
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 25(2018)
• Publication Date: 2018-06
• Subjects: appendicitis -- mesenteric vein thrombosis -- mesenteric venous thrombosis -- superior mesenteric vein thrombosis -- superior mesenteric venous thrombosis; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000011168
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: 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.