Pylephlebitis as a Complication of Acute Appendicitis.
- Author:
Hoon HUR
1
;
Gi Young SUNG
;
Do Sang LEE
;
Wook KIM
;
Il Young PARK
;
Jong Man WON
Author Information
1. Department of Surgery, Holy Familiy Hospital, The Catholic University of Korea, Bucheon, Korea. parkiy5@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Acute appendicitis;
Pylephlebitis
- MeSH:
Anti-Bacterial Agents;
Appendicitis*;
Chills;
Early Diagnosis;
Fever;
Humans;
Jaundice;
Leukocytosis;
Liver;
Liver Abscess;
Mortality;
Pelvic Infection;
Portal Vein;
Thrombophlebitis;
Veins
- From:Journal of the Korean Surgical Society
2003;64(2):180-183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pylephlebitis is defined as septic thrombophlebitis of the portal vein or one of its tributaries, and is usually secondary to an infection in the region drained by the portal venous system. Pylephlebitis is extremely rare today but high mortality still persists. It is a severe complication of acute appendicitis and other intraabdominal and pelvic infections. The patient presents with high fever, chills, leukocytosis, altered liver function, and sometimes jaundice. We describes two cases of pylephlebitis with acute appendicitis. One patient had pylephlebitis with multiple liver abscess and the other had superior mesnteric vein thrombi without liver abscesses. Both the patients had favorable outcomes with medical and surgical therapy. The early diagnosis and treatment with the timely administration of antibiotics and surgical therapy is most important for pylephlebitis.
