Portal pyaemia secondary to colonic perforation

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 jaun...

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Veröffentlicht in:	BMJ case reports 2019-04, Vol.12 (4), p.e228400
Hauptverfasser:	Wong, Chee Siong, Cho, Gyuseong, Godfrey, Edmund M, Harper, Simon
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abscesses Anti-Bacterial Agents - therapeutic use Antibiotics Anticoagulants - therapeutic use Blood Case reports Colon Colonic Diseases - complications Colonic Diseases - diagnostic imaging Colonic Diseases - surgery Gallbladder diseases Humans Infections Intestinal Perforation - complications Intestinal Perforation - diagnostic imaging Intestinal Perforation - surgery Liver Liver Abscess - etiology Male Medical prognosis Mesenteric Veins - diagnostic imaging Middle Aged Ostomy Phlebitis - drug therapy Phlebitis - etiology Sepsis - drug therapy Sepsis - etiology Thrombosis Tomography, X-Ray Computed Ultrasonic imaging Unusual Association of Diseases/Symptoms Veins & arteries
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Beschreibung
Zusammenfassung:	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.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2018-228400