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05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Isolated superior mesenteric venous thrombophlebitis with acute appendicitis
Mohsen Mohamed Karam1, Mohaed Fahmy Abdalla, Said Bedair
1Hamad Medical Corporation, G Surgery, 46 Teba Garden, Doha, Qatar.
International Journal of Surgery Case Reports
|March 19, 2013
Summary
Superior mesenteric venous thrombophlebitis, a rare condition, can be effectively treated with appendectomy, antibiotics, and anticoagulation. Early diagnosis via imaging is crucial for successful outcomes in atypical abdominal pain cases.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Isolated superior mesenteric venous thrombophlebitis is a rare but high-morbidity condition.
- It often arises secondary to infections within the portal venous system, such as appendicitis.
Purpose of the Study:
- To report a case of neglected perforated acute appendicitis complicated by superior mesenteric venous pyelephlebitis.
- To highlight the diagnostic and therapeutic approach for this rare condition.
Main Methods:
- A case of atypical abdominal pain was investigated using computed tomography (CT) scan.
- Treatment involved appendectomy, broad-spectrum antibiotics, and anticoagulation.
Main Results:
- CT scan revealed an obstructed superior mesenteric vein with acute appendicitis.
- The patient achieved full recovery with complete canalization of the superior mesenteric vein after one month of treatment.
- Imaging confirmed the successful resolution of the thrombophlebitis.
Conclusions:
- Atypical abdominal pain warrants prompt imaging for diagnosis.
- CT scan is vital for early detection and assessment of pylephlebitis extent.
- Prompt treatment, including source control and anticoagulation, is essential to prevent complications.
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