Germain M A, Soukhni N, Bouzard D
Service de chirurgie viscérale, hôpital Max-Fourestier, 403, avenue de la République, 92014 Nanterre, France.
Ann Chir. 2002 May;127(5):381-4. doi: 10.1016/s0003-3944(02)00776-9.
Common primary surgical sources of thrombophlebitis of the mesenteric vein are diverticulitis and appendicitis. This is an acute ascending infection with septic thrombophlebitis. C.T. imaging can diagnose this complication at an early stage. Broad spectrum antibiotic therapy and heparin should be started. Surgery is performed electively to eradicate the primary inflammatory process. Early detections of septic ascending pylephlebitis and adequate treatment have decreased the mortality rate. We report a clinical case of thrombophlebitis of the mesenteric vein in acute appendicitis.
肠系膜静脉血栓性静脉炎常见的原发性手术来源是憩室炎和阑尾炎。这是一种伴有感染性血栓性静脉炎的急性上行感染。CT成像可在早期诊断出这种并发症。应开始使用广谱抗生素治疗和肝素治疗。择期进行手术以根除原发性炎症过程。对感染性上行性门静脉炎的早期检测和充分治疗降低了死亡率。我们报告一例急性阑尾炎患者发生肠系膜静脉血栓性静脉炎的临床病例。
