Gad AbdAllah, Hindi Zakaria, Zahoor Talal, Zock Rémy Zock À
Department of Internal Medicine, Texas Tech University Health Sciences Center, Odessa, Texas Department of Biostatistics and Cancer Epidemiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Medicine (Baltimore). 2018 Jun;97(25):e11168. doi: 10.1097/MD.0000000000011168.
Superior mesenteric venous thrombosis (SMVT) is a rare condition that carries high mortality. Very few cases have been reported of SMVT, complicating acute appendicitis. Early recognition requires a high index of suspicion and is crucial in successful treatment of such a life-threatening condition.
A 33-year-old male presents with a 4-day history of right lower abdominal pain, nausea and subjective fever. CT scan showed acute appendicitis and a central filling defect in the superior mesenteric vein.
Acute appendicitis complicated by SMVT.
Intravenous antibiotics, appendectomy, and anticoagulation.
Repeat CT scan showed successful resolution of the SMVT at a 3-month follow up.
Clinical awareness and high index of suspicion are essential to diagnose and manage SMVT, a serious complication of acute appendicitis.
肠系膜上静脉血栓形成（SMVT）是一种罕见疾病，死亡率很高。很少有SMVT并发急性阑尾炎的病例报道。早期识别需要高度的怀疑指数，对于成功治疗这种危及生命的疾病至关重要。
一名33岁男性，有4天右下腹痛、恶心和主观发热病史。CT扫描显示急性阑尾炎和肠系膜上静脉中央充盈缺损。
急性阑尾炎并发SMVT。
静脉注射抗生素、阑尾切除术和抗凝治疗。
重复CT扫描显示，在3个月的随访中，SMVT成功消退。
临床意识和高度的怀疑指数对于诊断和管理SMVT（急性阑尾炎的一种严重并发症）至关重要。
