一例并发阑尾憩室炎的肠系膜静脉血栓形成病例。
A case of mesenteric venous thrombosis complicating appendiceal diverticulitis.
作者信息
Ichikawa Jun, Toda Kosuke, Fujita Haruku, Hirai Kenjiro, Ohe Hidenori, Yamamoto Hidekazu
机构信息
Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyamashi, Shiga, 524-8524, Moriyama City, Japan.
Department of Surgery, Graduate School of Medicine, Kyoto University, 53 Kawara-Cho Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
出版信息
Surg Case Rep. 2023 Jan 26;9(1):11. doi: 10.1186/s40792-023-01592-0.
BACKGROUND
Mesenteric venous thrombosis (MVT) and appendiceal diverticulitis are rare diseases. There has been no previous report on MVT complicating appendiceal diverticulitis. Herein, we report the first case of MVT complicating appendiceal diverticulitis.
CASE PRESENTATION
A 70-year-old male patient with right lower abdominal pain presented to our hospital. Abdominal contrast-enhanced computed tomography (CT) suggested MVT complicating appendiceal diverticulitis. Initially, we started conservative treatment with antibacterial drugs, but on the 2nd hospital day his general condition deteriorated due to sepsis that seemed to be caused by appendiceal diverticulitis. Therefore, we performed laparoscopic appendectomy. Histopathological findings of the specimen showed appendiceal diverticulitis. After the operation, he gradually improved. He was discharged on the 30th hospital day.
CONCLUSIONS
We report a successfully treated case of MVT complicating appendiceal diverticulitis by surgical intervention. This is the first case of MVT complicating appendiceal diverticulitis.
背景
肠系膜静脉血栓形成（MVT）和阑尾憩室炎是罕见疾病。此前尚无MVT并发阑尾憩室炎的报道。在此，我们报告首例MVT并发阑尾憩室炎的病例。
病例介绍
一名70岁男性患者因右下腹疼痛就诊于我院。腹部增强计算机断层扫描（CT）提示MVT并发阑尾憩室炎。起初，我们开始使用抗菌药物进行保守治疗，但在住院第2天，他的一般状况因似乎由阑尾憩室炎引起的脓毒症而恶化。因此，我们进行了腹腔镜阑尾切除术。标本的组织病理学检查结果显示为阑尾憩室炎。术后，他逐渐康复。他于住院第30天出院。
结论
我们报告了一例通过手术干预成功治疗的MVT并发阑尾憩室炎的病例。这是首例MVT并发阑尾憩室炎的病例。
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