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Cocket syndrome: thrombotic-septic disease post-appendicectomy complication

R Luque Mialdea1, R Diez, A Casanova

  • 1Pediatric Surgery Service, University Hospital General Gregorio Marañón, Madrid, Spain.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|February 1, 1995
PubMed
Summary

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A rare case of childhood venous thrombosis occurred after appendicitis surgery. This involved a congenital vascular malformation compressing the iliac vein, highlighting a rare cause of deep vein thrombosis in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Vascular Surgery
  • Pediatric Thrombosis

Background:

  • Acute appendicitis is common in children, with surgical complication rates below 5%.
  • Thromboembolic disease is exceptionally rare in the pediatric population.

Observation:

  • A 13-year-old male developed deep vein thrombosis (DVT) involving the left iliac vein and inferior vena cava six days post-appendectomy for gangrenous appendicitis.
  • Diagnostic imaging, including ultrasonography, plethysmography, and CT scans, confirmed the venous thrombosis.

Findings:

  • The DVT was attributed to an underlying congenital vascular anomaly, specifically Cocket syndrome, where the iliac artery compressed the iliac vein.
  • This case highlights an unusual etiology for venous thromboembolism in a pediatric patient.

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Implications:

  • This case underscores the importance of considering rare vascular malformations in pediatric patients presenting with unexplained venous thrombosis.
  • Early diagnosis and management of such conditions are crucial for preventing severe complications.
  • Further research into the incidence and management of Cocket syndrome in children is warranted.