Abstract
The combination of porto-mesenteric venous thrombosis (PVT) and peritoneal abscess is an uncommon complication of uncontrolled intra-abdominal inflammatory condition. The complications are associated with high morbidity and mortality when not recognized and treated early. We present our experience with a case of porto-mesenteric venous thrombosis and peritoneal abscess complicating sigmoid diverticulitis which was diagnosed with contrast-enhanced CT abdomen and managed with fluid therapy, antibiotics, and anticoagulant. This case became unique due to the surprising clinical and laboratory pictures of obstructive jaundice. Our case not only gives a different clinical and laboratory presentation of a known complication of a common disease but also raises an awareness on the wider role of ultrasound in its initial evaluation. Ultrasound evaluation of the portal and mesenteric veins should be incorporated into initial assessment of suspected obstructive jaundice.
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Abbreviations
- CT:
-
Computed tomography
- MRI:
-
Magnetic resonance imaging
- PVT:
-
Porto-mesenteric venous thrombosis
- E/U/Cr:
-
Electrolytes, urea, and creatinine
- AST:
-
Aspartate amino-transaminase
- PT:
-
Prothrombin time
- PTT:
-
Partial thromboplastin time
- INR:
-
International normalized ratio
- LFT:
-
Liver function test
- KUB:
-
Kidney, ureters, bladder
- IV:
-
Intravenous
- USS:
-
Ultrasonography
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SCO wrote the body of this study; AAS provided the description and images, while SAA provided the study and clinical data. All authors have read and approved the manuscript.
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Owoeye, S.C., Soliman, A.A. & Al-ammari, S.A. Porto-Mesenteric Venous Thrombosis and Peritoneal Abscess Complicating Sigmoid Diverticulitis: a Case Report. SN Compr. Clin. Med. 4, 251 (2022). https://doi.org/10.1007/s42399-022-01328-5
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DOI: https://doi.org/10.1007/s42399-022-01328-5