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Superior mesenteric venous thrombosis complicating acute appendicitis: A case report
AbdAllah Gad1, Zakaria Hindi, Talal Zahoor
1Department of Internal Medicine, Texas Tech University Health Sciences Center, Odessa, Texas Department of Biostatistics and Cancer Epidemiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Rationale:
Superior mesenteric venous thrombosis (SMVT) is a rare condition that carries high mortality. Very few cases have been reported of SMVT, complicating acute appendicitis. Early recognition requires a high index of suspicion and is crucial in successful treatment of such a life-threatening condition.
Patient Concerns:
A 33-year-old male presents with a 4-day history of right lower abdominal pain, nausea and subjective fever. CT scan showed acute appendicitis and a central filling defect in the superior mesenteric vein.
Diagnoses:
Acute appendicitis complicated by SMVT.
Interventions:
Intravenous antibiotics, appendectomy, and anticoagulation.
Outcomes:
Repeat CT scan showed successful resolution of the SMVT at a 3-month follow up.
Lessons:
Clinical awareness and high index of suspicion are essential to diagnose and manage SMVT, a serious complication of acute appendicitis.
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