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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.
Medicine
|June 21, 2018
Summary
Superior mesenteric venous thrombosis (SMVT) is a rare but serious complication of acute appendicitis. Prompt diagnosis and treatment, including anticoagulation and appendectomy, led to successful resolution in a recent case.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Superior mesenteric venous thrombosis (SMVT) is a rare condition with high mortality.
- SMVT complicating acute appendicitis is exceptionally uncommon.
- Early diagnosis of SMVT is critical for effective management.
Observation:
- A 33-year-old male presented with symptoms of acute appendicitis.
- CT imaging revealed both acute appendicitis and SMVT.
- The patient experienced right lower abdominal pain, nausea, and fever.
Findings:
- The patient underwent treatment with intravenous antibiotics, appendectomy, and anticoagulation.
- Follow-up CT scans at 3 months demonstrated complete resolution of the SMVT.
- The combined condition of appendicitis and SMVT was successfully managed.
Implications:
- This case highlights the importance of a high index of suspicion for SMVT in patients with acute appendicitis.
- Timely diagnosis and multimodal treatment are crucial for favorable outcomes.
- Increased clinical awareness can improve the management of this life-threatening condition.
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