COCKET SYNDROME - THROMBOTIC-SEPTIC DISEASE POST-APPENDECTOMY COMPLICATION

The incidence of complications following treatment of acute appendicit is in childhood is lower than 5%, while thromboembolic disease at that age is exceptional. The case of a 13-year-old male who was operated o n in our pediatric surgery department for acute gangrenous appendiciti s is presented. His condition improved until the sixth day after the o peration when he suffered thrombosis in both the left iliac vein and t he inferior cava. Ultrasonography, plethysmography and computer tomogr aphy (CT) studies were carried out and a diagnosis of venous thrombosi s was made with an underlying congenital vascular malformation where t he iliac vein was compressed by the overlying iliac artery; known as t he Cocket syndrome. The etiology diagnosis and treatment of this rare disease in childhood is reviewed.