title: Septic thrombophlebitis of the portal and superior mesenteric veins as a complication of appendicitis: report of a case.
abstract: 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.
authors.affiliation: Department of Emergency and Critical Care Medicine, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan.
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Nishimori
authors.forename: Eiri
authors.initials: E
authors.lastname: Ezoe
authors.forename: Hideki
authors.initials: H
authors.lastname: Ura
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Imaizumi
authors.forename: Makoto
authors.initials: M
authors.lastname: Meguro
authors.forename: Tomohisa
authors.initials: T
authors.lastname: Furuhata
authors.forename: Tadashi
authors.initials: T
authors.lastname: Katsuramaki
authors.forename: Fumitake
authors.initials: F
authors.lastname: Hata
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yasoshima
authors.forename: Koichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Asai
mesh_terms: D000293:Adolescent; D001064:Appendicitis / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D001442:Bacteroides Infections / Q000150:complications* / Q000628:therapy; D001441:Bacteroides fragilis; D006801:Humans; D008100:Liver Abscess / Q000209:etiology* / Q000382:microbiology; D008297:Male; D008642:Mesenteric Veins; D011169:Portal Vein; D013924:Thrombophlebitis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D014057:Tomography, X-Ray Computed