Acute Appendicitis Complicated with Ileocolic Vein Thrombosis

Sato, Satoshi; Takahashi, Hidekuni; Sato, Miki; Yokoyama, Maria; Hayashi, Yutaka; Kawashima, Hisashi

doi:10.1007/s12098-015-1817-0

Cited by 2 publications

(1 citation statement)

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“…Two case reports describe subacute mesenteric venous thrombosis that developed one week after COVID-19 diagnosis [12,13]. Isolated thrombophlebitis in the ileocolic branch of the superior mesenteric vein is exceptionally rare and has been reported as a complication of acute appendicitis [14]. In the present case, the patient developed isolated thrombophlebitis in the ileocolic branch of the superior mesenteric vein, without evidence of acute appendicitis or diverticulitis, following recovery from COVID-19.…”

Section: Discussionmentioning

confidence: 55%

Ileocolic Thrombophlebitis and Lymphadenitis Mimicking Acute Appendicitis as a Late Manifestation in a COVID-19 Patient: A Case Report

Chou¹,

Cheng²,

Long³

et al. 2022

Cureus

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Coronavirus disease 2019 (COVID-19) is an infectious viral disease, manifesting primarily as a lung infection with fever and respiratory symptoms. However, it also has a wide range of gastrointestinal symptoms, including nausea, vomiting, abdominal pain, and diarrhea. Right lower quadrant (RLQ) abdominal pain is a common complaint for patients seeking care at emergency departments. In addition to appendicitis, the other possible causes include diverticular disease, epiploic appendagitis, Crohn's disease, or mesenteric lymphadenitis, among others. Mesenteric ischemia is an uncommon, but crucial cause of abdominal pain, necessitating early diagnosis and treatment. Herein, we report a 47-year-old man who presented to our emergency department complaining of RLQ abdominal pain following recovery from COVID-19. CT was performed due to concern for acute appendicitis. However, mesenteric thrombophlebitis and lymphadenitis in the ileocolic branch were noted on CT. His abdominal pain improved after receiving anticoagulation therapy. This case describes an uncommon etiology of RLQ abdominal pain that should be considered as a late complication of COVID-19.

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Section: Discussionmentioning

confidence: 55%