Pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses owing to perforated appendicitis.
The authors report a case of a ruptured retrocecal appendix presenting with pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses in an 8-year-old boy. A right hemicolectomy was performed, and liver abscesses were drained. The patient was treated with long-term antibiotics and anticoagulation. This the only case of perforated appendicitis associated with these 3 morbid complications in the modern literature.
Chang
T N
TN
Departments of Surgery and Radiology, University of California, San Francisco, CA 94143-0570, USA.
Tang
L
L
Keller
K
K
Harrison
M R
MR
Farmer
D L
DL
Albanese
C T
CT
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002648:Child; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008100:Liver Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008642:Mesenteric Veins; D011169:Portal Vein; D012422:Rupture, Spontaneous; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013924:Thrombophlebitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents; D005343:Fibrinolytic Agents