A Case of Acute Appendicitis Accompanied by Superior Mesenteric Vein Thrombosis

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  • YAZAWA Takashi
    Department of Organ Regulatory Surgery, Fukushima Medical University
  • OHKI Shinji
    Department of Organ Regulatory Surgery, Fukushima Medical University
  • MONMA Tomoyuki
    Department of Organ Regulatory Surgery, Fukushima Medical University
  • SUZUKI Satoshi
    Department of Organ Regulatory Surgery, Fukushima Medical University
  • NAKAMURA Izumi
    Department of Organ Regulatory Surgery, Fukushima Medical University
  • TAKENOSHITA Seiichi
    Department of Organ Regulatory Surgery, Fukushima Medical University

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Other Title
  • 上腸間膜静脈血栓症を伴った急性虫垂炎の1例
  • 症例 上腸間膜静脈血栓症を伴った急性虫垂炎の1例
  • ショウレイ ジョウチョウカンマク ジョウミャク ケッセンショウ オ トモナッタ キュウセイ チュウスイエン ノ 1レイ

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Abstract

A man in his 70s was brought to our hospital on an emergency basis with chief complaints of fever, cough, and diarrhea. Abdominal computed tomography (CT) showed appendicitis accompanied by an abscess, as well as venous thrombosis extending from the ileocolic vein to the superior mesenteric vein (SMV), and SMV thrombosis was diagnosed. Ileocecal resection and lavage and drainage were performed on the same day for the appendicitis, and anticoagulant therapy and treatment with antibiotics were given postoperatively for the SMV thrombosis. The patient's postoperative course was uneventful, and the patient was discharged on day 17 when warfarin control was stabilized. Oral administration of warfarin was discontinued after confirming the disappearance of thrombi on an outpatient basis. The number of reported cases of SMV thrombosis complicating appendicitis in Japan is relatively low (n=9), and increases in severity have been reported in some cases. The present case is reported in the context of the relevant literature.

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