Acute appendicitis complicated by mesenteric vein thrombosis: A case report  

作　　者：Fan Yang Xiao-Chao Guo Xiao-Long Rao Lie Sun Ling Xu 

机构地区：[1]Department of General Surgery,Peking University First Hospital,Beijing 100034,Beijing Province,China [2]Department of Radiology,Peking University First Hospital,Beijing 100034,Beijing Province,China [3]Endoscopy Center,Peking University First Hospital,Beijing 100034,Beijing Province,China [4]Breast Disease Center,Peking University First Hospital,Beijing 100034,Beijing Province,China

出　　处：《World Journal of Clinical Cases》2021年第36期11400-11405,共6页世界临床病例杂志

摘　　要：BACKGROUND Acute appendicitis with mesenteric vein thrombosis(MVT)is an uncommon condition and usually lacks specific clinical manifestations,which leads to a high rate of misdiagnosis or delayed diagnosis,especially when it is accompanied by other abdominal diseases.Prompt and accurate recognition is vital for treatment and prognosis.CASE SUMMARY A 37-year-old woman had a history of acute metastatic right lower abdominal pain,nausea,and fever.A contrast-enhanced computed tomography(CT)scan showed a filling defect in the mesenteric vessels.The patient was diagnosed with acute appendicitis complicated by MVT and was treated with anticoagulation and intravenous antibiotics.The follow-up CT scan showed full resolution of the thrombosis and inflammation.CONCLUSION Clinical awareness is essential for recognizing MVT,especially when it is accompanied by other common acute abdominal diseases,such as acute appendicitis.Contrast-enhanced CT is helpful for the diagnosis of MVT and is recommended for patients with acute abdominal diseases.

关 键 词：Mesenteric vein thrombosis Ischemic bowel disease Acute abdominal diseases Contrast-enhanced computed tomography Acute appendicitis Case report 

分 类 号：R656.8[医药卫生—外科学] R572.3[医药卫生—临床医学]