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[Mesenteric venous thrombosis complicating acute appendicitis]
M A Germain1, N Soukhni, D Bouzard
1Service de chirurgie viscérale, hôpital Max-Fourestier, 403, avenue de la République, 92014 Nanterre, France.
Abstract:
Common primary surgical sources of thrombophlebitis of the mesenteric vein are diverticulitis and appendicitis. This is an acute ascending infection with septic thrombophlebitis. C.T. imaging can diagnose this complication at an early stage. Broad spectrum antibiotic therapy and heparin should be started. Surgery is performed electively to eradicate the primary inflammatory process. Early detections of septic ascending pylephlebitis and adequate treatment have decreased the mortality rate. We report a clinical case of thrombophlebitis of the mesenteric vein in acute appendicitis.
Insights
Septic thrombophlebitis of the mesenteric vein, often caused by appendicitis, can be diagnosed early with CT imaging. Prompt antibiotic and heparin treatment, followed by surgery, significantly reduces mortality rates.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Infectious Diseases
Background:
- Mesenteric vein thrombophlebitis is a rare but serious condition.
- Common causes include diverticulitis and appendicitis, leading to acute ascending septic thrombophlebitis.
- Early diagnosis and treatment are crucial for patient outcomes.
Observation:
- Computed tomography (CT) imaging is effective for early diagnosis of mesenteric vein thrombophlebitis.
- Clinical presentation involves acute ascending infection and septic thrombophlebitis.
- A case of mesenteric vein thrombophlebitis secondary to acute appendicitis is presented.
Findings:
- Early detection of septic ascending pylephlebitis improves survival rates.
- Treatment involves broad-spectrum antibiotics and heparin.
- Elective surgery is recommended to address the primary inflammatory source.
Implications:
- Aggressive management of mesenteric vein thrombophlebitis can decrease mortality.
- This condition highlights the importance of recognizing surgical sources of septic thrombophlebitis.
- Timely intervention is key in managing this potentially life-threatening complication.