Mesenteric venous thrombosis complicating a case of acute appendicitis

A 29-year-old male presented with a 1-week history of nausea, vomiting, fevers, and chills. At presentation he was febrile, tachycardic, and exhibited right-sided abdominal pain. Initial workup revealed a white blood count of 13.1, bilirubin 4.3, and mild elevation of transaminases. Computed tomography (CT) scan of the abdomen and pelvis revealed a thickened distal terminal ileum, a dilated and inflamed appendix with an appendicolith (Fig 1), and a nonocclusive thrombus within the superior mesenteric vein (Fig 2).
Source: Surgery - Category: Surgery Authors: Source Type: research