[Liver abscesses with portal and mesenteric vein thrombosis in combination with late onset of appendicitis].
Pyogenic liver abscesses are caused by appendicitis in less than 10%. Also the ascending septic inflammation of portal vein (pylephlebitis) could be a serious complication of intra-abdominal infection. Although pylephlebitis is not frequent today, its' mortality and morbidity rates remain high. We describe a case of young man with fever, abdominal pain, and multiple hepatic abscesses. After the symptomatic relief due to antibiotic therapy the pain returned as a result of the development of portal and mesenteric vein thrombosis. The cause of either hepatic abscesses or thrombosis was not clear at the time of dismissal. 2 months later the patient underwent acute abdominal revision with appendectomy for acute phlegmonous and gangrenous appendicitis. Since that time he has been without any clinical symptoms.
Márová
K
K
II. interní klinika 1. LF UK a VFN, Praha. katmar@volny.cz
Chochola
M
M
Golán
L
L
Krivánek
J
J
Aschermann
M
M
D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D001064:Appendicitis / Q000150:complications*; D006801:Humans; D008100:Liver Abscess / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000150:complications*; D008642:Mesenteric Veins; D011169:Portal Vein; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis