AI Article Synopsis
- - Acute appendicitis complicated by mesenteric vein thrombosis (MVT) is rare and often misdiagnosed due to non-specific symptoms, making timely recognition crucial for effective treatment.
- - A case involving a 37-year-old woman demonstrated how a CT scan identified MVT related to her acute appendicitis, leading to treatment with anticoagulants and antibiotics.
- - It's important to maintain a high clinical awareness for MVT in patients with abdominal issues, and using contrast-enhanced CT scans is recommended for accurate diagnosis.
Article Abstract
Background: Acute appendicitis with mesenteric vein thrombosis (MVT) is an uncommon condition and usually lacks specific clinical manifestations, which leads to a high rate of misdiagnosis or delayed diagnosis, especially when it is accompanied by other abdominal diseases. Prompt and accurate recognition is vital for treatment and prognosis.
Case Summary: A 37-year-old woman had a history of acute metastatic right lower abdominal pain, nausea, and fever. A contrast-enhanced computed tomography (CT) scan showed a filling defect in the mesenteric vessels. The patient was diagnosed with acute appendicitis complicated by MVT and was treated with anticoagulation and intravenous antibiotics. The follow-up CT scan showed full resolution of the thrombosis and inflammation.
Conclusion: Clinical awareness is essential for recognizing MVT, especially when it is accompanied by other common acute abdominal diseases, such as acute appendicitis. Contrast-enhanced CT is helpful for the diagnosis of MVT and is recommended for patients with acute abdominal diseases.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717517 | PMC |
| http://dx.doi.org/10.12998/wjcc.v9.i36.11400 | DOI Listing |
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