J Korean Soc Emerg Med.  2008 Feb;19(1):142-146.

Acute Appendicitis with Superior Mesenteric Vein Thrombosis and Portal Vein Thrombosis

• Kim SH
• Hong ES
• Kim WY
• Ahn R
• Hong JS

Abstract

Superior mesenteric vein thrombosis and portal vein thrombosis are rare conditions that are difficult to diagnose due to vague symptoms, but they are usually fatal when they occur. Appendicitis is the one of the most common causes of superior mesenteric vein thrombosis, via venous drainage from the appendiceal area into the portal system. We report a case of superior mesenteric vein thrombosis and portal vein thrombosis secondary to appendicitis presenting with diarrhea, low abdominal pain, and jaundice. The patient was treated with antibiotics and anticoagulants, without fatal complications, but developed a chronic sequela of portal vein thrombosis. It is important to consider thrombosis of the superior mesenteric vein and portal vein in patients who have intra-abdominal infection with specific or non-specific symptoms.

Keyword

Thrombosis; Superior mesenteric vein; Portal vein; Appendicitis

MeSH Terms

Abdominal Pain
Anti-Bacterial Agents
Anticoagulants
Appendicitis
Diarrhea
Drainage
Humans
Intraabdominal Infections
Jaundice
Mesenteric Veins
Portal System
Portal Vein
Thrombosis
Anti-Bacterial Agents
Anticoagulants