Yusibova Melodi
Department of Radiology, Copenhagen University Hospital, Amager and Hvidovre Hospital, Kettegård Alle 30, Hvidovre 2650, Denmark.
Radiol Case Rep. 2024 Jul 26;19(10):4322-4326. doi: 10.1016/j.radcr.2024.07.026. eCollection 2024 Oct.
Acute appendicitis is one of the most common infectious diseases in the abdomen, while superior mesenteric vein thrombosis is a rare and potentially fatal complication of acute appendicitis. This report describes a case of a 26-year-old male initially presenting with nonspecific symptoms including coughing, runny nose, vomiting, and diffuse stomach ache. Radiological evaluation with an emergency computed tomography (CT) scan revealed acute complicated appendicitis with abscess formation, perforation, and a large thrombosis in the superior mesenteric vein (SMV). The patient underwent laparoscopic appendectomy with ileocecal resection of the appendix and right-sided ileostomy placement. Treatment included antibiotics and anticoagulant therapy. SMV thrombosis is challenging to diagnose clinically, and early diagnosis and treatment are vital. A CT scan plays a significant role in detecting unsuspected SMV thrombosis, highlighting the importance for radiologists to be aware of this rare complication to appendicitis.
急性阑尾炎是腹部最常见的传染病之一，而上肠系膜静脉血栓形成是急性阑尾炎罕见且可能致命的并发症。本报告描述了一例26岁男性患者，最初表现为包括咳嗽、流鼻涕、呕吐和弥漫性胃痛在内的非特异性症状。急诊计算机断层扫描（CT）的影像学评估显示为急性复杂性阑尾炎，伴有脓肿形成、穿孔以及上肠系膜静脉（SMV）内的大血栓。患者接受了腹腔镜阑尾切除术，包括阑尾的回盲部切除和右侧回肠造口术。治疗包括抗生素和抗凝治疗。SMV血栓形成在临床上诊断具有挑战性，早期诊断和治疗至关重要。CT扫描在检测未被怀疑的SMV血栓形成方面发挥着重要作用，凸显了放射科医生了解这种阑尾炎罕见并发症的重要性。
