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A Rare Complication After Laparoscopic Appendectomy: Superior Mesenteric Vein Thrombosis

Year 2018, Issue: 1, 79 - 82, 01.03.2018

Ozan Akıncı Sina Ferahman Sefa Ergün Pınar Çiğdem Kocael Osman Şimşek Ahmet Kocael

Abstract

Appendectomy is the most commonly applied surgical procedure. Pylephlebitis is a rarely seen complication after appendectomy and thrombophlebitis of portal venous system. Pylephlebitis generally develops based on the secondary infections of the anatomical region drained by portal venous system. Anamnesis, physical examination and computed tomography CT plays an important role in the diagnosis. It is a significant clinical occurrence due to the high mortality rate; although, due to its rarity, pylephlebitis is hard to diagnose and does not often come to mind in a patient presenting post-appendectomy with abdominal pain, for it has no specific signs or symptoms. In our present case report, we aimed to share our experience regarding the diagnosis and treatment processes of a patient developing superior mesenteric vein SMV thrombosis after laparoscopic appendectomy

Keywords

Laparoscopic appendectomy superior mesenteric vein pylephlebitis

References

  • Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vasc Med 2010;15:407–18. https://doi.org/10.1177/1358863X10379673
  • Plemmons RM, Dooley DP, Longfield RN. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis 1995;21:1114–20.
  • Giuliano CT, Zerykier A, Haller JO, Wood BP. Radiological case of the month. Pylephlebitis secondary to unsuspected appendiceal rupture. Am J Dis Child 1989;143:1099–100.
  • Baddley JW, Singh D, Correa P, Persich NJ. Crohn’s disease presenting as septic thrombophlebitis of the portal vein (pylephlebitis): case report and review of the literature. Am J Gastroenterol 1999;94:847– 849. https://doi.org/10.1111/j.1572-0241.1999.00959.x
  • Chang PK, Hsu KF, Yu JC, Chang YM, Chan DC, Liao GS. Acute appendicitis with superior mesenteric vein septic thrombophlebitis. J Chin Med Assoc 2012;75:187–9. https://doi.org/10.1016/j. jcma.2012.02.012
  • Baril N, Wren S, Radin R, Ralls P, Stain S. The role of anticoagulation in pylephlebitis. Am J Surg 1996;172:449–52;discussion 452–3. https:// doi.org/10.1016/S0002-9610(96)00220-6
  • Balthazar EJ, Gollapudi P. Septic thrombophlebitis of the mesenteric and portal veins: CT imaging. J Comput Assist Tomogr 2000;24:755–60.
  • Morasch MD, Ebaugh JL, Chiou AC, Matsumura JS, Pearce WH, Yao JS. Mesenteric venous thrombosis: a changing clinical entity. J Vasc Surg 2001;34:680–4. https://doi.org/10.1067/mva.2001.116965
  • Kumar S, Kamath PS. Acute superior mesenteric venous thrombosis: one disease or two? Am J Gastroenterol 2003;98:1299–304. https:// doi.org/10.1111/j.1572-0241.2003.07338.x
  • Saxena R, Adolph M, Ziegler JR, Murphy W, Rutecki GW. Pylephlebitis: a case report and review of outcome in the antibiotic era. Am J Gastroenterol 1996;91:1251–3.
  • Stitzenberg KB, Piehl MD, Monahan PE, Phillips JD. Interval laparoscopic appendectomy for appendicitis complicated by pylephlebitis. JSLS 2006;10:108–13.
  • Condat B, Pessione F, Helene Denninger M, Hillaire S, Valla D. Recent portal or mesenteric venous thrombosis: increased recognition and frequent recanalization on anticoagulant therapy. Hepatology 2000;32:466–70. https://doi.org/10.1053/jhep.2000.16597
  • Lim HE, Cheong HJ, Woo HJ, Kim WJ, Kim MJ, Lee CH, Park SC. Pylephlebitis associated with appendicitis. Korean J Intern Med 1999;14:73–6.
  • Crowe PM, Sagar G. Reversible superior mesenteric vein thrombosis in acute pancreatitis. The CT appearances. Clin Radiol 1995;50:628–33.
  • Wichman HJ, Cwikiel W, Keussen I. Interventional treatment of mesenteric venous occlusion. Pol J Radiol 2014:30;79:233–8 https:// doi.org/10.12659/PJR.890990

LAPAROSKOPİK APENDEKTOMİ SONRASI NADİR BİR KOMPLİKASYON: SUPERİOR MEZENTERİK VEN TROMBOZU

Year 2018, Issue: 1, 79 - 82, 01.03.2018

Ozan Akıncı Sina Ferahman Sefa Ergün Pınar Çiğdem Kocael Osman Şimşek Ahmet Kocael

Abstract

Apendektomi dünyada en yaygın uygulanan cerrahi prosedürdür. Pyleflebitis; apendektomi sonrası nadir görülen bir komplikasyon olup portal venöz sistemin tromboflebitidir. Pyleflebitis genellikle portal venöz sistemin drene ettiği anatomik bölgenin sekonder enfeksiyonlarına bağlı gelişir. Tanıda anamnez, fizik muayene ve bilgisayarlı tomografi BT önemli yer tutar. Nadiren rastlanması, spesifik semptom ve belirtilerinin olmaması nedeniyle apendektomi sonrası karın ağrısıyla başvuran olguların ayırıcı tanısında genellikle ön planda düşünülmemekle beraber, mortalite oranının yüksek olması nedeniyle dikkate değer bir klinik antitedir. Bu olgu sunumumuzda, laparoskopik apendektomi sonrasında superior mezenterik ven SMV trombozu gelişen bir hastanın tanı ve tedavi süreçleri ile ilgili deneyimimizi paylaşmayı amaçladık

Keywords

Laparoskopik apendektomi superior mezenterik ven pyleflebitis

References

  • Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vasc Med 2010;15:407–18. https://doi.org/10.1177/1358863X10379673
  • Plemmons RM, Dooley DP, Longfield RN. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis 1995;21:1114–20.
  • Giuliano CT, Zerykier A, Haller JO, Wood BP. Radiological case of the month. Pylephlebitis secondary to unsuspected appendiceal rupture. Am J Dis Child 1989;143:1099–100.
  • Baddley JW, Singh D, Correa P, Persich NJ. Crohn’s disease presenting as septic thrombophlebitis of the portal vein (pylephlebitis): case report and review of the literature. Am J Gastroenterol 1999;94:847– 849. https://doi.org/10.1111/j.1572-0241.1999.00959.x
  • Chang PK, Hsu KF, Yu JC, Chang YM, Chan DC, Liao GS. Acute appendicitis with superior mesenteric vein septic thrombophlebitis. J Chin Med Assoc 2012;75:187–9. https://doi.org/10.1016/j. jcma.2012.02.012
  • Baril N, Wren S, Radin R, Ralls P, Stain S. The role of anticoagulation in pylephlebitis. Am J Surg 1996;172:449–52;discussion 452–3. https:// doi.org/10.1016/S0002-9610(96)00220-6
  • Balthazar EJ, Gollapudi P. Septic thrombophlebitis of the mesenteric and portal veins: CT imaging. J Comput Assist Tomogr 2000;24:755–60.
  • Morasch MD, Ebaugh JL, Chiou AC, Matsumura JS, Pearce WH, Yao JS. Mesenteric venous thrombosis: a changing clinical entity. J Vasc Surg 2001;34:680–4. https://doi.org/10.1067/mva.2001.116965
  • Kumar S, Kamath PS. Acute superior mesenteric venous thrombosis: one disease or two? Am J Gastroenterol 2003;98:1299–304. https:// doi.org/10.1111/j.1572-0241.2003.07338.x
  • Saxena R, Adolph M, Ziegler JR, Murphy W, Rutecki GW. Pylephlebitis: a case report and review of outcome in the antibiotic era. Am J Gastroenterol 1996;91:1251–3.
  • Stitzenberg KB, Piehl MD, Monahan PE, Phillips JD. Interval laparoscopic appendectomy for appendicitis complicated by pylephlebitis. JSLS 2006;10:108–13.
  • Condat B, Pessione F, Helene Denninger M, Hillaire S, Valla D. Recent portal or mesenteric venous thrombosis: increased recognition and frequent recanalization on anticoagulant therapy. Hepatology 2000;32:466–70. https://doi.org/10.1053/jhep.2000.16597
  • Lim HE, Cheong HJ, Woo HJ, Kim WJ, Kim MJ, Lee CH, Park SC. Pylephlebitis associated with appendicitis. Korean J Intern Med 1999;14:73–6.
  • Crowe PM, Sagar G. Reversible superior mesenteric vein thrombosis in acute pancreatitis. The CT appearances. Clin Radiol 1995;50:628–33.
  • Wichman HJ, Cwikiel W, Keussen I. Interventional treatment of mesenteric venous occlusion. Pol J Radiol 2014:30;79:233–8 https:// doi.org/10.12659/PJR.890990
There are 15 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Ozan Akıncı

Sina Ferahman

Sefa Ergün

Pınar Çiğdem Kocael

Osman Şimşek

Ahmet Kocael

Publication Date March 1, 2018
Published in Issue Year 2018Issue: 1

Cite

EndNote Akıncı O, Ferahman S, Ergün S, Kocael PÇ, Şimşek O, Kocael A (March 1, 2018) A Rare Complication After Laparoscopic Appendectomy: Superior Mesenteric Vein Thrombosis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 79–82.