APENDEKTOMİ SONRASI NADİR BİR KOMPLİKASYON, PORTAL VEN TROMBÜSÜ

Portal ven trombozu, portal veni oluşturannbölümlerin trombüsle tam veya parsiyel obstrüksiyonudur. Hastalarda çoğu zaman karın ağrısı gibi non spesifik semptomlar bulunmaktadır. Bu nedenle tanı genellikle rastlantısal konur. Erken tedavi edilmez ise mortalite oranı %50’lere kadar çıkmaktadır. Bu nedenle özellikle cerrahların ve acil servis hekimlerinin aklında bulunması gereken önemli bir ayırıcı tanıdır. Bu vaka sunumumuzda; appendektomi sonrası karın ağrısı şikayeti ile acil servise başvuran ve abdominal görüntüleme yöntemlerinde portal vende trombüs saptanan 40 yaşındaki bir erkek hastayı sunmayı amaçladık.

Anahtar Kelimeler:

portal trombüs, akut apandisit, piyeloflebit

A RARE COMPLICATION AFTER APPENDECTOMY, PORTAL VEIN THROMBUS

Portal vein thrombosis is the complete or partial obstruction of the parts of the portal vein by a thrombus. Patients often have non-specific symptoms such as abdominal pain. Therefore, the diagnosis is usually made incidentally. If not treated early, the mortality rate can reach up to 50%. Therefore, it is an important differential diagnosis that should be kept in mind especially by surgeons and emergency physicians. In this case presentation; We aimed to present a 40-year-old male patient who was admitted to the emergency department with the complaint of abdominal pain after appendectomy and a portal vein thrombus was detected in abdominal imaging methods.

Keywords:

portal thrombus, acute appendicitis, pyelophlebitis,

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