Pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses owing to perforated appendicitis

The authors report a case of a ruptured retrocecal appendix presenting with pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses in an 8-year-old boy. A right hemicolectomy was performed, and liver abscesses were drained. The patient was treated with long-term antibiotics and an...

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Veröffentlicht in:	Journal of pediatric surgery 2001-09, Vol.36 (9), p.19-21
Hauptverfasser:	Chang, Te Ning, Tang, Lily, Keller, Kathy, Harrison, Michael R., Farmer, Diana L., Albanese, Craig T.
Format:	Artikel
Sprache:	eng
Schlagworte:	Anti-Bacterial Agents - administration & dosage Appendicitis Appendicitis - complications Appendicitis - diagnosis Appendicitis - surgery Child Combined Modality Therapy Drainage - methods Fibrinolytic Agents - administration & dosage Follow-Up Studies hepatic abscess Humans Intestinal Perforation - complications Intestinal Perforation - diagnosis Intestinal Perforation - surgery Liver Abscess - diagnosis Liver Abscess - drug therapy Liver Abscess - etiology Male mesenteric vein thrombosis Mesenteric Veins Portal Vein portal vein thrombosis pylephlebitis Rupture, Spontaneous Streptococcal Infections - diagnosis Streptococcal Infections - drug therapy Streptococcal Infections - etiology Thrombophlebitis - diagnosis Thrombophlebitis - drug therapy Thrombophlebitis - etiology Tomography, X-Ray Computed Treatment Outcome Venous Thrombosis - diagnosis Venous Thrombosis - drug therapy Venous Thrombosis - etiology
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Beschreibung
Zusammenfassung:	The authors report a case of a ruptured retrocecal appendix presenting with pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses in an 8-year-old boy. A right hemicolectomy was performed, and liver abscesses were drained. The patient was treated with long-term antibiotics and anticoagulation. This the only case of perforated appendicitis associated with these 3 morbid complications in the modern literature. J Pediatr Surg 36:E19. Copyright © 2001 by W.B. Saunders Company.
ISSN:	0022-3468 1531-5037
DOI:	10.1053/jpsu.2001.26401