KMID : 0870420140180030101
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Korean Journal of Hepato-Biliary-Pancreatic Surgery 2014 Volume.18 No. 3 p.101 ~ p.103
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Superior mesenteric vein thrombosis accompanied with severe appendicitis
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Lee Kyo-Won
Choi Young-Il
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Abstract
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Superior mesenteric vein (SMV) thrombosis caused by acute appendicitis is a very rare entity nowadays. We report a successfully treated case of a 21-year-old man with SMV thrombosis associated with severe acute appendicitis. Intravenous heparin was administered, and it was later substituted with warfarin. Systemic antibiotic therapy was con-tinued for 1 week, and it was substituted with oral antibiotics, which were administered for 3 weeks. On the 45th postoperative day, follow-up computed tomography scan demonstrated dissolution of SMV thrombosis. Anticoagulation therapy was maintained for 3 months. He was discharged without any complications. SMV thrombosis can be treated successfully with emergency appendectomy, broad-spectrum antibiotics, and anticoagulation therapy. (Korean J Hepatobiliary Pancreat Surg 2014;18:101-103)
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KEYWORD
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Superior mesenteric vein, Thrombosis, Appendicitis
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