Super-mesenteric-vein-expia-thrombosis, the clinical sequelae can be quite atrocious

Superior mesenteric vein (SMV) thrombosis is a rare, potentially life-threatening complication of intra-abdominal infection. Here we present a case of massive SMV thrombosis secondary to appendicitis in a 13-year-old boy. He presented with vague abdominal pain and associated symptoms, persistently e...

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Bibliographic Details
Published inInternational journal of adolescent medicine and health Vol. 28; no. 4; pp. 445 - 449
Main Authors Lole Harris, Benjamin Howell, Walsh, Jason Leo, Nazir, Sarfraz A.
Format Journal Article
LanguageEnglish
Published Germany De Gruyter 01.11.2016
Walter de Gruyter GmbH
Subjects
Abdomen
abdominal pain
Adolescent
Anorexia
Anti-Bacterial Agents - administration & dosage
Antibiotics
Anticoagulants - administration & dosage
Appendectomy - adverse effects
Appendectomy - methods
Appendicitis
Appendicitis - complications
Appendicitis - diagnosis
Appendicitis - surgery
Delayed Diagnosis - prevention & control
Diagnosis, Differential
Diarrhea
Disease Management
Diverticulitis
Emergency medical care
Hemodynamics
Humans
Infections
Liver
Male
Mesenteric Ischemia - diagnosis
Mesenteric Ischemia - etiology
Mesenteric Ischemia - physiopathology
Mesenteric Ischemia - therapy
Mesenteric Veins - diagnostic imaging
Pain
Patients
Preoperative Care - methods
superior mesenteric vein
Thrombosis
Tomography
Tomography, X-Ray Computed - methods
Treatment Outcome
Ultrasonic imaging
Ultrasonography - methods
Veins & arteries
Vomiting
United Kingdom > UK
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Summary:Superior mesenteric vein (SMV) thrombosis is a rare, potentially life-threatening complication of intra-abdominal infection. Here we present a case of massive SMV thrombosis secondary to appendicitis in a 13-year-old boy. He presented with vague abdominal pain and associated symptoms, persistently elevated serum inflammatory markers and a pyrexia of unknown origin. Sonography proved inconclusive, and a definitive diagnosis was made by abdominal contrast-enhanced computed tomography. He was treated with antibiotics and anticoagulation before interval elective laparoscopic appendectomy. The non-specific nature of the presenting symptoms makes SMV thrombosis an important differential to consider when dealing with such patients.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0334-0139
2191-0278
DOI:10.1515/ijamh-2015-0040