Ozan AKINCI, Sina FERAHMAN, Sefa ERGÜN, Pınar Çiğdem KOCAEL, Osman ŞİMŞEK, Ahmet KOCAEL

LAPAROSKOPİK APENDEKTOMİ SONRASI NADİR BİR KOMPLİKASYON: SUPERİOR MEZENTERİK VEN TROMBOZU

Apendektomi dünyada en yaygın uygulanan cerrahi prosedürdür. Pyleflebitis; apendektomi sonrası nadir görülen bir komplikasyon olup portal venöz sistemin tromboflebitidir. Pyleflebitis genellikle portal venöz sistemin drene ettiği anatomik bölgenin sekonder enfeksiyonlarına bağlı gelişir. Tanıda anamnez, fizik muayene ve bilgisayarlı tomografi BT önemli yer tutar. Nadiren rastlanması, spesifik semptom ve belirtilerinin olmaması nedeniyle apendektomi sonrası karın ağrısıyla başvuran olguların ayırıcı tanısında genellikle ön planda düşünülmemekle beraber, mortalite oranının yüksek olması nedeniyle dikkate değer bir klinik antitedir. Bu olgu sunumumuzda, laparoskopik apendektomi sonrasında superior mezenterik ven SMV trombozu gelişen bir hastanın tanı ve tedavi süreçleri ile ilgili deneyimimizi paylaşmayı amaçladık

A Rare Complication After Laparoscopic Appendectomy: Superior Mesenteric Vein Thrombosis

Appendectomy is the most commonly applied surgical procedure. Pylephlebitis is a rarely seen complication after appendectomy and thrombophlebitis of portal venous system. Pylephlebitis generally develops based on the secondary infections of the anatomical region drained by portal venous system. Anamnesis, physical examination and computed tomography CT plays an important role in the diagnosis. It is a significant clinical occurrence due to the high mortality rate; although, due to its rarity, pylephlebitis is hard to diagnose and does not often come to mind in a patient presenting post-appendectomy with abdominal pain, for it has no specific signs or symptoms. In our present case report, we aimed to share our experience regarding the diagnosis and treatment processes of a patient developing superior mesenteric vein SMV thrombosis after laparoscopic appendectomy

Keywords:

Laparoscopic appendectomy, superior mesenteric vein, pylephlebitis,

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