title: Acute appendicitis with superior mesenteric vein septic thrombophlebitis.
abstract: Septic thrombophlebitis of the superior mesenteric vein (SMV) is rarely caused by acute appendicitis. The clinical symptoms of SMV thrombophlebitis are varied and atypical, so the diagnosis is commonly delayed, resulting in a reported mortality rate of 30%-50%. We report a case of SMV septic thrombophlebitis caused by acute appendicitis in which the patient was successfully treated with surgical intervention, appropriate antibiotics, and anticoagulation therapy. A follow-up abdominal computed tomography scan after 3 months of treatment showed that the SMV thrombosis had been resolved.
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Pi-Kai
authors.initials: PK
authors.lastname: Chang
authors.forename: Kuo-Feng
authors.initials: KF
authors.lastname: Hsu
authors.forename: Jyh-Cherng
authors.initials: JC
authors.lastname: Yu
authors.forename: Yuan-Min
authors.initials: YM
authors.lastname: Chang
authors.forename: De-Chuan
authors.initials: DC
authors.lastname: Chan
authors.forename: Guo-Shiou
authors.initials: GS
authors.lastname: Liao
mesh_terms: D000208:Acute Disease; D000925:Anticoagulants / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications*; D006801:Humans; D008297:Male; D008642:Mesenteric Veins; D008875:Middle Aged; D018805:Sepsis / Q000628:therapy*; D013924:Thrombophlebitis / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants