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

T N Chang; L Tang; K Keller; M R Harrison; D L Farmer; C T Albanese

doi:10.1053/jpsu.2001.26401

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

J Pediatr Surg. 2001 Sep;36(9):E19. doi: 10.1053/jpsu.2001.26401.

Authors

T N Chang¹, L Tang, K Keller, M R Harrison, D L Farmer, C T Albanese

Affiliation

¹ Departments of Surgery and Radiology, University of California, San Francisco, CA 94143-0570, USA.

PMID: 11528636
DOI: 10.1053/jpsu.2001.26401

Abstract

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.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / administration & dosage
Appendicitis / complications*
Appendicitis / diagnosis
Appendicitis / surgery
Child
Combined Modality Therapy
Drainage / methods
Fibrinolytic Agents / administration & dosage
Follow-Up Studies
Humans
Intestinal Perforation / complications*
Intestinal Perforation / diagnosis
Intestinal Perforation / surgery
Liver Abscess / diagnosis
Liver Abscess / drug therapy
Liver Abscess / etiology*
Male
Mesenteric Veins*
Portal Vein*
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*

Substances

Anti-Bacterial Agents
Fibrinolytic Agents