Portal Vein Septic Thrombosis Secondary to Complicated Appendicitis: Case Report
vv Clinical Group Archives of Clinical Gastroenterology DOI: http://dx.doi.org/10.17352/acg ISSN: 2455-2283 CC By Jacqueline Vasconcelos Quaresma¹*, Igor Mizael da Costa Saadi², Rafael Case Report José Romero Garcia3 and Leanne Isadora Vasconcelos Quaresma4 Portal vein septic thrombosis ¹Ophir Loyola Hospital, Clinica Médica, Belém, Pará, Brazil secondary to complicated appendicitis: ²Jean Bitar Hospital, Clinica Médica, Belém, Pará, Brazil Case report ³Santa Casa de Misericórdia of Pará Foundation, Gastrointestinal Surgery, Belém, Pará, Brazil 4Federal University of Pará, Medicine, Belém, Pará, Brazil Abstract Received: 11 August, 2018 Accepted: 25 August, 2018 Background: Portal vein septic thrombophlebitis is a rare and serious event of late diagnosis and Published: 27 August, 2018 secondary to intra-abdominal infection. *Corresponding author: Jacqueline Vasconcelos Case report: A 21-year-old man was admitted to the hospital with loss of weight, fever, chills, Quaresma, Hospital Ophir Loyola Avenida Governador hepatosplenomegaly, and history of abdominal pain in the right iliac fossa previously treated with Magalhães Barata, 992- São Bras, CEP: 66630-040, ciprofl oxacin. At the entrance physical examination, he was emaciated and had no signs of abdominal Belém, Pará, Brazil, Tel: (91)982980088; pain upon palpation. Computed tomography showed portal vein thrombosis and nodular image in the Email: ileocecal region, initiating antibiotic therapy. After exploratory laparotomy, appendicitis was confi rmed and hepatic collections were found. After ten days of the procedure and the end of the antibiotic therapy, Keywords: Appendicitis; Liver; Portal vein; Thrombo- he was discharged, keeping well and without complaints. sis Conclusions: Septic thrombophlebitis is a rare but serious complication of non-specifi c signs and https://www.peertechz.com symptoms, making diagnosis diffi cult.
[Show full text]