Idiopathic suppurative pylephlebitis: interventional radiological diagnosis and management.
We report the imaging findings and management of a case of suppurative pylephlebitis of unknown cause in a 10-year-old girl. Percutaneous aspiration of frank pus from the portal vein confirmed the diagnosis and contributed to therapy. Percutaneous transhepatic thrombolysis was attempted but was unsuccessful. Because of the nonspecific presentation of this condition and the lack of familiarity of physicians with this entity, the diagnosis is often delayed. Our aim is to increase the awareness of this entity and stress the importance of early diagnosis and appropriate therapy.
Bogue
Conor O
CO
Division of Image Guided Therapy, Department of Diagnostic Imaging, The Hospital for Sick Children, The University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. conor.bogue@sickkids.ca
Leahy
Timothy R
TR
Rea
David J
DJ
Bitnun
Ari
A
Brandao
Leonardo R
LR
Kahr
Walter H A
WH
Jacobson
Sheila
S
Amaral
Joao G
JG
Connolly
Bairbre L
BL
D000792:Angiography; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011169:Portal Vein; D015641:Radiography, Interventional; D015912:Thrombolytic Therapy; D013924:Thrombophlebitis / Q000175:diagnosis* / Q000188:drug therapy*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color