急性阑尾炎并发肠系膜上静脉血栓形成：一例报告
Superior mesenteric venous thrombosis complicating acute appendicitis: A case report.
作者信息
Gad AbdAllah, Hindi Zakaria, Zahoor Talal, Zock Rémy Zock À
机构信息
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.
出版信息
Medicine (Baltimore). 2018 Jun;97(25):e11168. doi: 10.1097/MD.0000000000011168.
RATIONALE
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.
PATIENT CONCERNS
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.
DIAGNOSES
Acute appendicitis complicated by SMVT.
INTERVENTIONS
Intravenous antibiotics, appendectomy, and anticoagulation.
OUTCOMES
Repeat CT scan showed successful resolution of the SMVT at a 3-month follow up.
LESSONS
Clinical awareness and high index of suspicion are essential to diagnose and manage SMVT, a serious complication of acute appendicitis.
理论依据
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。
患者情况
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。
诊断
急性阑尾炎并发SMVT。
干预措施
静脉注射抗生素、阑尾切除术和抗凝治疗。
结果
重复CT扫描显示，在3个月的随访中，SMVT成功消退。
经验教训
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。
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