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Acute appendicitis complicated by mesenteric vein thrombosis: A case report
Fan Yang1, Xiao-Chao Guo2, Xiao-Long Rao3
1Department of General Surgery, Peking University First Hospital, Beijing 100034, Beijing Province, China.
World Journal of Clinical Cases
|January 24, 2022
Summary
Acute appendicitis complicated by mesenteric vein thrombosis (MVT) is rare and often misdiagnosed. Early recognition with contrast-enhanced CT is crucial for effective treatment and improved patient outcomes.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Acute appendicitis with mesenteric vein thrombosis (MVT) presents uncommon clinical manifestations, increasing the risk of misdiagnosis or delayed diagnosis.
- Co-occurrence with other abdominal pathologies further complicates the recognition of MVT.
Observation:
- A case of a 37-year-old woman with acute right lower abdominal pain, nausea, and fever.
- Contrast-enhanced computed tomography (CT) revealed a filling defect in mesenteric vessels, indicating MVT.
- The patient was diagnosed with acute appendicitis complicated by MVT.
Findings:
- Treatment involved anticoagulation and intravenous antibiotics.
- Follow-up CT confirmed complete resolution of thrombosis and inflammation.
- This case highlights the successful management of appendicitis with MVT.
Implications:
- Heightened clinical suspicion is vital for identifying MVT, particularly when it accompanies common acute abdominal conditions like appendicitis.
- Contrast-enhanced CT is a valuable diagnostic tool for MVT in patients presenting with acute abdominal diseases.
- Prompt diagnosis and appropriate treatment are essential for favorable prognoses in MVT cases.
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