A biliary tract obstruction complicated by acute appendicitis and portal vein thrombosis-a case report and review of literature

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F21%3AN0000090" target="_blank" >RIV/00098892:_____/21:N0000090 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61989592:15110/21:73608877

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S2210261221006428" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2210261221006428</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ijscr.2021.106140" target="_blank" >10.1016/j.ijscr.2021.106140</a>

Jazyk výsledku

angličtina

Název v původním jazyce

A biliary tract obstruction complicated by acute appendicitis and portal vein thrombosis-a case report and review of literature

Popis výsledku v původním jazyce

Introduction and importance: Acute appendicitis is one of the most common surgical diagnoses in clinical practice. In case of uncomplicated course, diagnosis and treatment do not cause significant difficulties. On the other hand, unrecognized or complicated appendicitis can rarely bring unusual complications that threaten the patient with delayed treatment rather than the course itself. Portal vein thrombosis, also known as pylephlebitis, with an incidence of 1/1000 acute admissions, certainly meets this statement. Case presentation: In this study, we present a successful treatment of advanced acute appendicitis complicating treatment of biliary obstruction. Due to the advanced inflammation with forced intestinal resection in the extent of right-sided hemicolectomy. And then successful conservative treatment of portal vein thrombosis in the surgical facility lasting a total of 6 weeks when the patient was discharged to home care without sequelae. Clinical discussion: The epidemiology, presentation, diagnosis and strategy of treatments as well as their outcomes were discussed. Conclusion: Portal vein thrombosis after acute appendicitis is rare. In case of unfavorable postoperative course with high inflammatory markers, temperatures, discomfort and abdominal pain, a CT scan is in order, which can easily establish the diagnosis and subsequently target the treatment in the right direction. Treatment of pylephlebitis is conservative and long term. It consists in the application of low molecular weight heparin and targeted antibiotic treatment. The mortality rate is 32%.

Název v anglickém jazyce

A biliary tract obstruction complicated by acute appendicitis and portal vein thrombosis-a case report and review of literature

Popis výsledku anglicky

Introduction and importance: Acute appendicitis is one of the most common surgical diagnoses in clinical practice. In case of uncomplicated course, diagnosis and treatment do not cause significant difficulties. On the other hand, unrecognized or complicated appendicitis can rarely bring unusual complications that threaten the patient with delayed treatment rather than the course itself. Portal vein thrombosis, also known as pylephlebitis, with an incidence of 1/1000 acute admissions, certainly meets this statement. Case presentation: In this study, we present a successful treatment of advanced acute appendicitis complicating treatment of biliary obstruction. Due to the advanced inflammation with forced intestinal resection in the extent of right-sided hemicolectomy. And then successful conservative treatment of portal vein thrombosis in the surgical facility lasting a total of 6 weeks when the patient was discharged to home care without sequelae. Clinical discussion: The epidemiology, presentation, diagnosis and strategy of treatments as well as their outcomes were discussed. Conclusion: Portal vein thrombosis after acute appendicitis is rare. In case of unfavorable postoperative course with high inflammatory markers, temperatures, discomfort and abdominal pain, a CT scan is in order, which can easily establish the diagnosis and subsequently target the treatment in the right direction. Treatment of pylephlebitis is conservative and long term. It consists in the application of low molecular weight heparin and targeted antibiotic treatment. The mortality rate is 32%.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Surgery Case Reports

ISSN

2210-2612

e-ISSN

2210-2612

Svazek periodika

84

Číslo periodika v rámci svazku

July

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

3

Strana od-do

106140

Kód UT WoS článku

000675879300018

EID výsledku v databázi Scopus

2-s2.0-85109433142