A case of mesenteric venous thrombosis complicating appendiceal diverticulitis

Jun Ichikawa; Kosuke Toda; Haruku Fujita; Kenjiro Hirai; Hidenori Ohe; Hidekazu Yamamoto

doi:10.1186/s40792-023-01592-0

A case of mesenteric venous thrombosis complicating appendiceal diverticulitis

Surg Case Rep. 2023 Jan 26;9(1):11. doi: 10.1186/s40792-023-01592-0.

Authors

Jun Ichikawa¹, Kosuke Toda², Haruku Fujita³, Kenjiro Hirai⁴, Hidenori Ohe², Hidekazu Yamamoto²

Affiliations

¹ Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyamashi, Shiga, 524-8524, Moriyama City, Japan. kpumhand17@gmail.com.
² Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyamashi, Shiga, 524-8524, Moriyama City, Japan.
³ Department of Surgery, Graduate School of Medicine, Kyoto University, 53 Kawara-Cho Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
⁴ Department of Surgery, Japanese Red Cross Otsu Hospital, 1-35 Nagara, Otsu City, Shiga, 520-8511, Japan.

Abstract

Background: Mesenteric venous thrombosis (MVT) and appendiceal diverticulitis are rare diseases. There has been no previous report on MVT complicating appendiceal diverticulitis. Herein, we report the first case of MVT complicating appendiceal diverticulitis.

Case presentation: A 70-year-old male patient with right lower abdominal pain presented to our hospital. Abdominal contrast-enhanced computed tomography (CT) suggested MVT complicating appendiceal diverticulitis. Initially, we started conservative treatment with antibacterial drugs, but on the 2nd hospital day his general condition deteriorated due to sepsis that seemed to be caused by appendiceal diverticulitis. Therefore, we performed laparoscopic appendectomy. Histopathological findings of the specimen showed appendiceal diverticulitis. After the operation, he gradually improved. He was discharged on the 30th hospital day.

Conclusions: We report a successfully treated case of MVT complicating appendiceal diverticulitis by surgical intervention. This is the first case of MVT complicating appendiceal diverticulitis.

Keywords: Acute appendicitis; Appendiceal diverticulitis; Laparoscopic appendectomy; Mesenteric venous thrombosis; Specimen.