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The American surgeon · Apr 2007
Case ReportsMesenteric venous thrombophlebitis--septic thrombophlebitis of the inferior mesenteric vein: an unusual manifestation of diverticulitis.
- Bastian Domajnko, Amit Kumar, and Rabih M Salloum.
- Department of Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.
- Am Surg. 2007 Apr 1; 73 (4): 404-6.
AbstractWe report a case of a 57-year-old female patient who presented with fever, abdominal pain, and bacteremia. A CT scan demonstrated sigmoid diverticulitis and air within the inferior mesenteric vein. The patient underwent exploratory laparotomy and sigmoid colectomy. She was discharged without complications. Septic thrombophlebitis of the inferior mesenteric vein is a rare complication of diverticulitis. It may manifest as bacteremia not responding to intravenous antibiotics. CT scan findings are diagnostic, and include evidence of intraluminal gas within the inferior mesenteric vein. As with any case of complicated diverticulitis, the treatment is surgical resection of the involved colon.
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