A Case of Acute Appendicitis Complicated With Superior Mesenteric Vein Thrombosis

Fukutomi, Satoshi; Yasutomi, Jyun; Kusashio, Kimihiko; Suzuki, Masaru; Fukao, Katashi; Miyazaki, Masaru

doi:10.3919/jjsa.69.581

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Its diagnosis tends to be delayed because of its nonspecific symptoms [2]. The presence of secondary causes has been reported in about 80 % of the cases, and abnormalities of the congealing fibrinogenolysis system (a decrease in anticoagulant factor, antiphospholipid antibody syndrome), portal hypertension, inflammatory diseases of the abdomen, laparotomy, malignant tumor, and trauma have been reported as such secondary causes [3]. If SMVT is caused by an inflammatory disease of the abdomen, appendicitis, diverticulitis, cholecystitis, pancreatitis, intra-abdominal infection, and intrapelvic infection are considered.…”

Section: Discussionmentioning

confidence: 99%

“…(2) Bacteria infiltrate into the SMV, cause angiitis such as portal vein phlebitis, and induce thrombus formation. (3) Bacteria invade into tissues around the veins, cause periphlebitis along the vessels, and as inflammation extends into the vascular lumens, blood clotting is promoted, leading to thrombus formation [3]. In our patient, histopathological examination was performed concerning the mesoappendix alone, and details of SMVT or PVT were unclear.…”

Section: Discussionmentioning

confidence: 99%

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Superior mesenteric vein thrombosis as a complication of acute appendicitis : report of a case

Takehara

Miyano

Machida

et al. 2013

Clin J Gastroenterol

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Since superior mesenteric vein thrombosis (SMVT) is a relatively rare disease and shows no specific symptom, its diagnosis tends to be delayed. In this report, we present a patient in whom acute appendicitis was complicated by SMVT and portal vein thrombosis (PVT). A definitive diagnosis could be made by abdominal contrast-enhanced CT, and acute appendicitis was surgically treated. Anticoagulant therapy was continued for about half a year after surgery. Abdominal contrast-enhanced CT after discharge showed no recurrence of SMVT or PVT. We consider that acute appendicitis induced SMVT or PVT caused by the effect of inflammation. There is the possibility that these conditions lead to intestinal congestion or necrosis and liver dysfunction; appropriate diagnosis and treatment are necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Superior mesenteric vein thrombosis as a complication of acute appendicitis : report of a case

Takehara

Miyano

Machida

et al. 2013

Clin J Gastroenterol

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“…The inflammation was so severe that liver abscess and dysfunction were apparent. SMVT and PVT are relatively rare, and 80% of cases are reported to have secondary causes, such as malignant tumor or trauma ( 4 ). Microorganisms are often observed in blood cultures in these cases ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

Liver Abscess and Portal Vein Thrombosis Due to Ileal Diverticulitis Mediated by Barium Fluoroscopy

et al. 2017

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We report a case of liver abscess and portal vein thrombosis, which occurred due to diverticulitis at the terminal ileum in a 59-year-old man. The patient underwent a barium fluoroscopic examination 1 month before presenting to our hospital. He also showed liver dysfunction due to thrombosis at the superior mesenteric and portal veins. His inflammation gradually subsided after the initiation of treatment, but the recovery was not sufficient. Thus, surgery was performed. The patient condition improved after surgery and he was discharged. Barium examinations are relatively safe, but can sometimes cause severe adverse effects in patients with certain risk factors, and an appropriate diagnosis and treatment are necessary when symptoms appear.

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Super-mesenteric-vein-expia-thrombosis, the clinical sequelae can be quite atrocious

Harris

Walsh

Nazir

2016

International Journal of Adolescent Medicine and Health

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Superior mesenteric vein (SMV) thrombosis is a rare, potentially life-threatening complication of intra-abdominal infection. Here we present a case of massive SMV thrombosis secondary to appendicitis in a 13-year-old boy. He presented with vague abdominal pain and associated symptoms, persistently elevated serum inflammatory markers and a pyrexia of unknown origin. Sonography proved inconclusive, and a definitive diagnosis was made by abdominal contrast-enhanced computed tomography. He was treated with antibiotics and anticoagulation before interval elective laparoscopic appendectomy. The non-specific nature of the presenting symptoms makes SMV thrombosis an important differential to consider when dealing with such patients.

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A Case of Acute Appendicitis Complicated With Superior Mesenteric Vein Thrombosis

Cited by 5 publications

References 7 publications

Superior mesenteric vein thrombosis as a complication of acute appendicitis : report of a case

Superior mesenteric vein thrombosis as a complication of acute appendicitis : report of a case

Liver Abscess and Portal Vein Thrombosis Due to Ileal Diverticulitis Mediated by Barium Fluoroscopy

Super-mesenteric-vein-expia-thrombosis, the clinical sequelae can be quite atrocious

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