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 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.
Nishimori
Hidefumi
H
Department of Emergency and Critical Care Medicine, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan.
Ezoe
Eiri
E
Ura
Hideki
H
Imaizumi
Hitoshi
H
Meguro
Makoto
M
Furuhata
Tomohisa
T
Katsuramaki
Tadashi
T
Hata
Fumitake
F
Yasoshima
Takahiro
T
Hirata
Koichi
K
Asai
Yasufumi
Y
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