Superior mesenteric vein thrombosis accompanied with severe appendicitis.
10.14701/kjhbps.2014.18.3.101
- Author:
Kyo Won LEE
1
;
Young Il CHOI
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan Universitiy School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Superior mesenteric vein;
Thrombosis;
Appendicitis
- MeSH:
Anti-Bacterial Agents;
Appendectomy;
Appendicitis*;
Emergencies;
Follow-Up Studies;
Heparin;
Humans;
Mesenteric Veins*;
Thrombosis*;
Warfarin;
Young Adult
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2014;18(3):101-103
- CountryRepublic of Korea
- Language:English
-
Abstract:
Superior mesenteric vein (SMV) thrombosis caused by acute appendicitis is a very rare entity nowadays. We report a successfully treated case of a 21-year-old man with SMV thrombosis associated with severe acute appendicitis. Intravenous heparin was administered, and it was later substituted with warfarin. Systemic antibiotic therapy was continued for 1 week, and it was substituted with oral antibiotics, which were administered for 3 weeks. On the 45th postoperative day, follow-up computed tomography scan demonstrated dissolution of SMV thrombosis. Anticoagulation therapy was maintained for 3 months. He was discharged without any complications. SMV thrombosis can be treated successfully with emergency appendectomy, broad-spectrum antibiotics, and anticoagulation therapy.
