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Superior mesenteric vein thrombosis complicating appendicular masses.
Salma S Echtibi1, Masoud O Bashir, Misbah U Ahmed
1Department of Surgery, Al Ain Hospital, Al Ain, United Arab Emirates.
Saudi Medical Journal
|September 16, 2003
Summary
Mesenteric vein thrombosis (MVT) is a rare complication of appendicular mass. Early diagnosis using contrast-enhanced CT scans is crucial for timely anticoagulation treatment.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Gastroenterology
Background:
- Mesenteric vein thrombosis (MVT) is an uncommon condition, often presenting diagnostic challenges and delays.
- Appendicular mass is a potential, though rare, predisposing factor for MVT.
Observation:
- Two patients with appendicular mass developed MVT.
- One patient underwent appendectomy and experienced postoperative fever; the other received conservative management.
- Abdominal CT scans with intravenous contrast were instrumental in diagnosing unsuspected superior MVT in both cases.
Findings:
- Contrast-enhanced CT is valuable for diagnosing MVT associated with appendicular masses.
- The superior mesenteric vein warrants focused attention in imaging protocols for appendicular masses.
Implications:
- Early diagnosis of MVT enables prompt initiation of anticoagulation therapy.
- Routine use of intravenous contrast in CT scans for appendicular masses may improve MVT detection rates.
- Further research into the superior mesenteric vein's role in MVT is recommended.