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[Role of reflux in evolution and prognosis of acute thrombophlebitis of lower extremities varicose veins].

Role of venous reflux in evolution and prediction of acute varicotrombophlebitis (AVTP) has been evaluated with coloured duplex scanning performed as daily monitoring. It is demonstrated that venous reflux determines the direction and rate of thromb formation, it potential of embolism, promotes formation of floating thrombi. Study of venous reflux permits to predict the evolution of AVTP. It is one of the key elements which influences the thrombus formation and determines policy of treatment of varicose disease complicated with AVTP.

Aged↗

Portal venous thrombophlebitis in a case of perforated appendicitis: lessons from a case.

Portal and mesenteric pyelephlebitis is a rarely recognised condition associated with a high morbidity. It usually develops secondary to infection in the drainage area of the portal venous system. We report a case of perforated acute appendicitis complicated by superior mesenteric venous pyelephlebitis and thrombocytopaenia. Appendicectomy and treatment with broad-spectrum antibiotics, anticoagulation, and platelets led to a full recovery. Follow-up imaging revealed complete resolution of the thrombosis. The literature is reviewed and the operative and non-operative approaches for the management of mesenteric and portal venous thrombosis are discussed.

Adult↗