Evidence map›Paper›PMID 42359189›Full record

ArticleCureus2026

Appendicitis-Associated Pylephlebitis With Superior Mesenteric Vein Thrombosis and Portal Vein Extension: A Case Report.

Luis Alberto Ortega-Zapata, Alejandro Hernández-Alejo, Aldo M Pacheco-Carrillo, Matías Salinas-Chapa, Diego Salinas-Rodríguez, Guillermo Elizondo-Riojas

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Luis Alberto Ortega-ZapataDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.
Alejandro Hernández-AlejoDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.
Aldo M Pacheco-CarrilloDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.
Matías Salinas-ChapaDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.
Diego Salinas-RodríguezDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.
Guillermo Elizondo-RiojasDepartment of Radiology, "Dr. José Eleuterio González" University Hospital, Universidad Autonoma de Nuevo Leon, Monterrey, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Appendicitis-associated suppurative pylephlebitis with superior mesenteric vein (SMV) thrombosis is an uncommon but clinically important complication that can be identified on contrast-enhanced computed tomography. A 47-year-old man presented with seven days of right lower quadrant abdominal pain, leukocytosis, and elevated inflammatory markers. Contrast-enhanced abdominopelvic CT demonstrated acute appendicitis without CT signs of perforation or bowel ischemia, together with occlusive thrombosis of the superior mesenteric vein extending into mesenteric venous branches. The patient underwent diagnostic laparoscopy with conversion to open appendectomy for source control, followed by broad-spectrum antibiotics and anticoagulation. Follow-up CT 10 days later demonstrated persistent SMV thrombosis and a new postoperative abscess in the appendiceal bed. A subsequent CT five days later showed an interval decrease in the abscess size but progression of thrombus to the origin of the portal vein. This case highlights the importance of systematic evaluation of the portomesenteric venous system on CT in patients with appendicitis and the value of serial imaging for detecting thrombus progression and postoperative septic complications that may directly affect management and prognosis.

Indexed as

abscessacute appendicitiscomputed tomographyportal vein pylephlebitisportomesenteric thrombosissuperior mesenteric vein thrombosis

Identifiers

PMID42359189
PMCPMC13293349

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.