Intraoperative US diagnosis of pylephlebitis (portal vein thrombosis) as a complication of appendicitis: a case report |
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Authors: | P Farin H Paajanen P Miettinen |
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Institution: | (1) Department of Clinical Radiology, Kuopio University Hospital, 70211 Kuopio, Finland, FI;(2) Department of Surgery, Kuopio University Hospital, 70211 Kuopio, Finland, FI |
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Abstract: | We report a case of infectious thrombosis of the superior mesenteric vein (pylephlebitis) that was suspected preoperatively
with computed tomography and confirmed at intraoperative ultrasonography as confined to the extrahepatic portal vein and superior
mesenteric vein. Intraoperative ultrasonography revealed intraluminal echogenic thrombus material in the dilated superior
mesenteric and extrahepatic portal veins, slightly dilated open splenic vein, and numerous venous collaterals in the hepatoduodenal
ligament. When preoperative imaging studies are inconclusive, intraoperative sonography can confirm the correct diagnosis
of pylephlebitis and may give valuable information about the extent of the thrombosis.
Received: 19 December 1995/Accepted: 31 January 1996 |
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Keywords: | : Pylethrombosis— Thrombosis— Portal vein— Appendicitis— Ultrasonography— Intraoperative US |
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