title: Portal venous thrombophlebitis in a case of perforated appendicitis: lessons from a case.
abstract: Portal and mesenteric pyelephlebitis is a rarely recognised condition associated with a high morbidity. It usually develops secondary to infection in the drainage area of the portal venous system. We report a case of perforated acute appendicitis complicated by superior mesenteric venous pyelephlebitis and thrombocytopaenia. Appendicectomy and treatment with broad-spectrum antibiotics, anticoagulation, and platelets led to a full recovery. Follow-up imaging revealed complete resolution of the thrombosis. The literature is reviewed and the operative and non-operative approaches for the management of mesenteric and portal venous thrombosis are discussed.
authors.affiliation: Department of Paediatric Surgery, Waikato Hospital, Hamilton.
authors.forename: Renukadas
authors.initials: R
authors.lastname: Sakalkale
authors.forename: Paul
authors.initials: P
authors.lastname: Reeve
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging; D011859:Radiography; D013924:Thrombophlebitis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants