A rare complication of acute appendicitis: Superior mesenteric vein thrombosis

Abstract

Although this is a rare complication of appendicitis, the case was managed successfully with a conservative approach. This is inline with the general consensus which is to treat superior mesenteric vein thrombosis secondary to appendicitis conservatively unless the patient deteriorates.

A Rare Complication of Acute Appendicitis: Superior Mesenteric Vein Thrombosis

“…Some reports stated that appendicitis can result in portal vein thrombosis. 3 Inflammed thrombosis of the portal vein is called pylephlebitis. Pylephlebitis occurs as a result of an abdominal infection draining into the portal venous system.…”

“…Peripheral white blood cell count was 22,750/mm 3 (segmen neutrophil 88.7%). Hematocrit was 37.6% and platelet count was 85,000/mm 3 . Other values were AST 38 IU/L, ALT 52 IU/L, gamma-GT 160 u/L, alkaline phosphatase 202 IU/L, total bilirubin 9.90 mg/dL, direct bilirubin 8.70 mg/dL, protein 5.20 g/dL, albumin 2.04 g/dL, INR was 1.12, and d-dimer 4650 ng/mL.…”

“…Caution need to be taken because mortality rate in SMV thrombosis and pyogenic liver abscess associated with intra-abdominal infection can reach 25-50%. 2,3 Rare complications in acute appendicitis were scarcely found. Therefore clinicians need to increase awareness to decrease mortality.…”

Mesoappendix cyst: a new interesting sequelae of appendicitis

“…1 The common complications of appendicitis include perforation peritonitis, abscess formation, portal vein thrombosis and superior mesenteric vein thrombosis, and have been reported in literature. 2 We, here, present a case of mesoappendix cyst as sequelae of appendicitis in 26-year-old male.…”

Venous acute disturbance of mesenteric circulation: diagnosis and treatment

“…Среди других местных причин развития тромбоза в венозной портомезентериальной системе выделяют воспалительные заболевания органов брюшной полости (колит, острый панкреатит, дивертикулит и ряд других) и забрюшинного пространства (хронический пиелонефрит), открытые и лапароскопические операции на брюшной полости, травмы органов брюшной полости [33,34,39,49,57,70,71]. Довольно редко острый аппендицит осложняется развитием тромбоза в системе воротной и брыжеечной вен [9,87]. Бариатрические лапароскопические оперативные вмешательства, по данным ряда авторов, являются фактором риска развития тромбоза в венозной пор-томезентериальной системе [22,64].…”