Superior Mesenteric Venous (Smv) Thrombosis Accompanied With Appendicitis in a Patient With Primary Diagnosis of Typhoid Fever Publisher Pubmed



Adibimehr A¹ ; Seyedalinaghi S² ; Nourian A³ ; Mehrabi Z⁴ ; Moslemi R³
Source: Infectious Disorders - Drug Targets Published:2021

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. © 2021 Bentham Science Publishers.