Superior Mesenteric Venous (SMV) Thrombosis Accompanied with Appendicitis in a Patient with Primary Diagnosis of Typhoid Fever

Author(s): Alireza Adibimehr, SeyedAhmad SeyedAlinaghi, Anahid Nourian, Zeinab Mehrabi, Rohollah Moslemi*

Journal Name: Infectious Disorders - Drug Targets
Formerly Current Drug Targets - Infectious Disorders

Volume 21 , Issue 4 , 2021


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Graphical Abstract:


Abstract:

Background: Septic thrombophlebitis of the Superior Mesenteric Venous (SMV) is rarely accompanied by appendicitis, and symptoms are atypical, so the diagnosis is commonly delayed, resulting in it is associated with high mortality.

Case Presentation: We report a case of neglected SMV septic thrombophlebitis is caused by appendicitis. The patient represented with fever, vague abdominal pain without rebound tenderness, and history of the consumption of contaminated water. Antibiotic initiated due to suspicious typhoid fever. Then typhoid fever was ruled out. Computed tomography (CT) scans revealed micro-abscess forming complicated appendicitis and the thrombus in SMV.

Discussion and Conclusion: The patient underwent a laparoscopic appendectomy, during which retrocecal gangrened perforated appendix with a 2×2 cm abscess was drained. Based on positive culture with ESBL organism meropenem was initiated. Appendectomy and treatment with broad- -spectrum antibiotics and anticoagulation led to a full recovery.

Keywords: Septic thrombophlebitis, superior mesenteric venous, appendicitis, appendectomy, retrocecal, abscess.

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Article Details

VOLUME: 21
ISSUE: 4
Year: 2021
Published on: 31 July, 2020
Page: [634 - 636]
Pages: 3
DOI: 10.2174/1871526520666200731180042
Price: $65

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