Liver Abscess and Portal Vein Thrombosis Due to Ileal Diverticulitis Mediated by Barium Fluoroscopy

Intern Med. 2017 Dec 1;56(23):3255-3259. doi: 10.2169/internalmedicine.9223-17. Epub 2017 Oct 11.

Abstract

We report a case of liver abscess and portal vein thrombosis, which occurred due to diverticulitis at the terminal ileum in a 59-year-old man. The patient underwent a barium fluoroscopic examination 1 month before presenting to our hospital. He also showed liver dysfunction due to thrombosis at the superior mesenteric and portal veins. His inflammation gradually subsided after the initiation of treatment, but the recovery was not sufficient. Thus, surgery was performed. The patient condition improved after surgery and he was discharged. Barium examinations are relatively safe, but can sometimes cause severe adverse effects in patients with certain risk factors, and an appropriate diagnosis and treatment are necessary when symptoms appear.

Keywords: barium; diverticulitis; liver abscess; portal vein thrombosis; superior mesenteric vein thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Barium / adverse effects*
  • Diverticulitis / complications*
  • Diverticulitis / diagnostic imaging*
  • Diverticulitis / drug therapy
  • Diverticulitis / surgery
  • Fluoroscopy
  • Humans
  • Ileum / diagnostic imaging
  • Ileum / physiopathology*
  • Liver Abscess / diagnostic imaging
  • Liver Abscess / drug therapy
  • Liver Abscess / etiology*
  • Liver Abscess / surgery
  • Male
  • Middle Aged
  • Portal Vein / diagnostic imaging
  • Portal Vein / physiopathology*
  • Treatment Outcome
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology*
  • Venous Thrombosis / surgery

Substances

  • Barium