Abstract
Introduction:
Portal pyaemia is a rare phenomenon that can complicate a variety of pathologies and surgical procedures. It has a predilection for elderly and immunocompromised patients.
Discussion:
We present a review of the related literature and report an exceptional case of fulminant portal pyaemia, with an atypical presentation in a patient with few typical risk factors, complicating an elective surgical procedure for benign disease.
Conclusion:
Portal pyaemia is a condition which can lead to acute overwhelming sepsis and carries a high mortality. It should be considered a differential in abdominal sepsis when no overt abdominal source is found.
MeSH terms
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Aged
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Anastomosis, Surgical / adverse effects
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Anastomosis, Surgical / methods
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Colectomy / adverse effects*
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Colectomy / methods
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Colonic Polyps / pathology
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Colonic Polyps / surgery
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Critical Illness
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Disease Progression
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Diverticulosis, Colonic / diagnosis
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Diverticulosis, Colonic / surgery
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Fatal Outcome
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Humans
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Male
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Multiple Organ Failure / diagnosis
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Multiple Organ Failure / therapy
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Portal Vein / diagnostic imaging
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Portal Vein / pathology*
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / surgery
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Reoperation / methods
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Sepsis / diagnosis*
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Sepsis / etiology
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Sepsis / surgery
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Tomography, X-Ray Computed / methods