A case of fulminant portal pyemia complicating hemicolectomy for polyps: literature review and case report.
BACKGROUND
Portal pyaemia is a rare phenomenon that can complicate a variety of pathologies and surgical procedures. It has a predilection for elderly and immunocompromised patients.


CONCLUSIONS
We present a review of the related literature and report an exceptional case of fulminant portal pyaemia, with an atypical presentation in a patient with few typical risk factors, complicating an elective surgical procedure for benign disease.


CONCLUSIONS
Portal pyaemia is a condition which can lead to acute overwhelming sepsis and carries a high mortality. It should be considered a differential in abdominal sepsis when no overt abdominal source is found.
Harb
Ayad
A
Queen Mary's Hospital, Sidcup, Sidcup, UK. ayad5@hotmail.com
Smith
Olivia
O
Lloyd
Helen
H
Harb
Ziad
Z
Payne
John G
JG
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D003082:Colectomy / Q000009:adverse effects* / Q000379:methods; D003111:Colonic Polyps / Q000473:pathology / Q000601:surgery; D016638:Critical Illness; D018450:Disease Progression; D043963:Diverticulosis, Colonic / Q000175:diagnosis / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000628:therapy; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation / Q000379:methods; D018805:Sepsis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods