Portal pyaemia secondary to colonic perforation

BMJ Case Rep. 2019 Apr 15;12(4):e228400. doi: 10.1136/bcr-2018-228400.

Abstract

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. We report a case of portal pyaemia associated with multiple liver abscesses and discuss the medical and surgical management of this condition.

Keywords: gastrointestinal surgery; general surgery.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anticoagulants / therapeutic use
  • Colonic Diseases / complications*
  • Colonic Diseases / diagnostic imaging
  • Colonic Diseases / surgery
  • Humans
  • Intestinal Perforation / complications*
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / surgery
  • Liver Abscess / etiology*
  • Male
  • Mesenteric Veins / diagnostic imaging
  • Middle Aged
  • Phlebitis / drug therapy
  • Phlebitis / etiology*
  • Sepsis / drug therapy
  • Sepsis / etiology*
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Anticoagulants