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Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis
BACKGROUND: Although rare, portal mesenteric venous thrombosis and pylephlebitis remain potential life-threatening sequelae of ruptured appendicitis in children. Treatment recommendations from recent reports have included urgent exploratory laparotomy with appendectomy, prolonged intravenous antibio...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2006
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015684/ https://www.ncbi.nlm.nih.gov/pubmed/16709373 |
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author | Stitzenberg, Karyn B. Piehl, Mark D. Monahan, Paul E. Phillips, J. Duncan |
author_facet | Stitzenberg, Karyn B. Piehl, Mark D. Monahan, Paul E. Phillips, J. Duncan |
author_sort | Stitzenberg, Karyn B. |
collection | PubMed |
description | BACKGROUND: Although rare, portal mesenteric venous thrombosis and pylephlebitis remain potential life-threatening sequelae of ruptured appendicitis in children. Treatment recommendations from recent reports have included urgent exploratory laparotomy with appendectomy, prolonged intravenous antibiotic therapy, and anticoagulation for up to a year. METHODS: This report describes successful management of pylephlebitis and mesenteric venous thrombosis complicating ruptured appendicitis with intravenous antibiotics and anticoagulation followed by interval laparoscopic appendectomy. RESULTS: A previously healthy 5-year-old girl was diagnosed with ruptured appendicitis complicated by pylephlebitis and mesenteric venous thrombosis at the time of presentation. She was treated with intravenous antibiotics and anticoagulated for 3 months. She subsequently underwent interval laparoscopic appendectomy. At 3-year follow-up, she is healthy without evidence of adverse sequelae. DISCUSSION: This is the first reported case of successful, minimally invasive management of ruptured appendicitis complicated by mesenteric venous thrombosis and pylephlebitis. CONCLUSION: Similar treatment of other children with this rare presentation seems reasonable. |
format | Text |
id | pubmed-3015684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30156842011-02-17 Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis Stitzenberg, Karyn B. Piehl, Mark D. Monahan, Paul E. Phillips, J. Duncan JSLS Case Reports BACKGROUND: Although rare, portal mesenteric venous thrombosis and pylephlebitis remain potential life-threatening sequelae of ruptured appendicitis in children. Treatment recommendations from recent reports have included urgent exploratory laparotomy with appendectomy, prolonged intravenous antibiotic therapy, and anticoagulation for up to a year. METHODS: This report describes successful management of pylephlebitis and mesenteric venous thrombosis complicating ruptured appendicitis with intravenous antibiotics and anticoagulation followed by interval laparoscopic appendectomy. RESULTS: A previously healthy 5-year-old girl was diagnosed with ruptured appendicitis complicated by pylephlebitis and mesenteric venous thrombosis at the time of presentation. She was treated with intravenous antibiotics and anticoagulated for 3 months. She subsequently underwent interval laparoscopic appendectomy. At 3-year follow-up, she is healthy without evidence of adverse sequelae. DISCUSSION: This is the first reported case of successful, minimally invasive management of ruptured appendicitis complicated by mesenteric venous thrombosis and pylephlebitis. CONCLUSION: Similar treatment of other children with this rare presentation seems reasonable. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015684/ /pubmed/16709373 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Stitzenberg, Karyn B. Piehl, Mark D. Monahan, Paul E. Phillips, J. Duncan Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title | Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title_full | Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title_fullStr | Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title_full_unstemmed | Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title_short | Interval Laparoscopic Appendectomy for Appendicitis Complicated by Pylephlebitis |
title_sort | interval laparoscopic appendectomy for appendicitis complicated by pylephlebitis |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015684/ https://www.ncbi.nlm.nih.gov/pubmed/16709373 |
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