Septic thrombophlebitis of the porto-mesenteric veins as a complication of acute appendicitis  

作　　者：Yeon Soo Chang Sun Young Min Sun Hyung Joo Suk- Hwan Lee 

机构地区：[1]Department of Surgery,Kyung Hee University College of Medicine,Seoul 134-727,South Korea

出　　处：《World Journal of Gastroenterology》2008年第28期4580-4582,共3页世界胃肠病学杂志（英文版）

摘　　要：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.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.

关 键 词：Acute appendicitis PYLEPHLEBITIS ANTIBIOTICS Anti-coagulation therapy 

分 类 号：R656.8[医药卫生—外科学]