Superior mesenteric venous thrombosis complicating acute appendicitis: A case report
Rationale:
Superior mesenteric venous thrombosis (SMVT) is a rare condition that carries high mortality. Very few cases have been reported of SMVT, complicating acute appendicitis. Early recognition requires a high index of suspicion and is crucial in successful treatment of such a life-threatening condition.
Patient concerns:
A 33-year-old male presents with a 4-day history of right lower abdominal pain, nausea and subjective fever. CT scan showed acute appendicitis and a central filling defect in the superior mesenteric vein.
Diagnoses:
Acute appendicitis complicated by SMVT.
Interventions:
Intravenous antibiotics, appendectomy, and anticoagulation.
Outcomes:
Repeat CT scan showed successful resolution of the SMVT at a 3-month follow up.
Lessons:
Clinical awareness and high index of suspicion are essential to diagnose and manage SMVT, a serious complication of acute appendicitis.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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