Takehara Kazuhiro, Miyano Syozo, Machida Michio, Kitabatake Toshiaki, Fujisawa Minoru, Kojima Kuniaki
Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421 Japan.
Clin J Gastroenterol. 2013 Aug;6(4):269-73. doi: 10.1007/s12328-013-0390-1. Epub 2013 Jun 14.
Since superior mesenteric vein thrombosis (SMVT) is a relatively rare disease and shows no specific symptom, its diagnosis tends to be delayed. In this report, we present a patient in whom acute appendicitis was complicated by SMVT and portal vein thrombosis (PVT). A definitive diagnosis could be made by abdominal contrast-enhanced CT, and acute appendicitis was surgically treated. Anticoagulant therapy was continued for about half a year after surgery. Abdominal contrast-enhanced CT after discharge showed no recurrence of SMVT or PVT. We consider that acute appendicitis induced SMVT or PVT caused by the effect of inflammation. There is the possibility that these conditions lead to intestinal congestion or necrosis and liver dysfunction; appropriate diagnosis and treatment are necessary.
由于肠系膜上静脉血栓形成（SMVT）是一种相对罕见的疾病且无特异性症状，其诊断往往会延迟。在本报告中，我们介绍了一名急性阑尾炎并发SMVT和门静脉血栓形成（PVT）的患者。通过腹部增强CT可做出明确诊断，急性阑尾炎接受了手术治疗。术后持续抗凝治疗约半年。出院后腹部增强CT显示SMVT或PVT未复发。我们认为急性阑尾炎因炎症作用诱发了SMVT或PVT。这些情况有可能导致肠道充血或坏死以及肝功能障碍；因此需要进行恰当的诊断和治疗。
