Septic thrombophlebitis of the porto-mesenteric veins as a complication of acute appendicitis.
Pylephlebitis, a rare complication of acute appendicitis, is defined as thrombophlebitis of the portal venous system. Pylephlebitis usually occurs due to secondary infection in the region drained into the portal system. We report a case of pylephlebitis caused by acute appendicitis. The patient was transferred from a private clinic 1 wk after appendectomy with the chief complaints of high fever and abdominal pain. He was diagnosed with pylephlebitis of the portal vein and superior mesenteric vein by CT-scan. The patient was treated with antibiotics and anticoagulation therapy, and discharged on the 25th day and follow-up CT scan showed a cavernous transformation of portal thrombosis.
Chang
Yeon-Soo
YS
Department of Surgery, Kyung Hee University Neo Medical Center, Kyung Hee University College of Medicine, Gangdong-gu, Seoul 134-727, South Korea.
Min
Sun-Young
SY
Joo
Sun-Hyung
SH
Lee
Suk-Hwan
SH
D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications*; D001424:Bacterial Infections / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology*; D013924:Thrombophlebitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D000925:Anticoagulants