Septic thrombophlebitis of the portal and superior mesenteric veins as a complication of appendicitis: report of a case

Pylephlebitis is extremely rare and associated with high mortality, even in this modern era. It usually occurs secondary to infection in the region drained by the portal systems or in the structure contiguous to the portal vein. We report a case of septic thrombophlebitis of the portal and superior...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2004-02, Vol.34 (2), p.173-176
Main Authors: Nishimori, Hidefumi, Ezoe, Eiri, Ura, Hideki, Imaizumi, Hitoshi, Meguro, Makoto, Furuhata, Tomohisa, Katsuramaki, Tadashi, Hata, Fumitake, Yasoshima, Takahiro, Hirata, Koichi, Asai, Yasufumi
Format: Article
Language:English
Subjects:
Adolescent
Appendicitis - complications
Appendicitis - microbiology
Appendicitis - therapy
Bacteroides fragilis
Bacteroides Infections - complications
Bacteroides Infections - therapy
Humans
Liver Abscess - etiology
Liver Abscess - microbiology
Male
Mesenteric Veins
Portal Vein
Thrombophlebitis - etiology
Thrombophlebitis - microbiology
Thrombophlebitis - therapy
Tomography, X-Ray Computed
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Summary:Pylephlebitis is extremely rare and associated with high mortality, even in this modern era. It usually occurs secondary to infection in the region drained by the portal systems or in the structure contiguous to the portal vein. We report a case of septic thrombophlebitis of the portal and superior mesenteric veins (SMV) with multiple liver abscesses caused by acute appendicitis with an abscess of the mesoappendix. We performed appendectomy and successfully removed the thrombi using a Fogarty catheter. Postoperative histopathological examination confirmed a diagnosis of appendicitis and septic thrombophlebitis of the portal vein and SMV. The patient recovered completely with appropriate medical and surgical treatment.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-003-2654-8