Jaterní abscesy s portální a mezenteriální flebotrombózou v kombinaci s pozdní manifestací apendicitidy
[Liver abscesses with portal and mesenteric vein thrombosis in combination with late onset of appendicitis]
Language Czech Country Czech Republic Media print
Document type Case Reports, English Abstract, Journal Article
PubMed
16161544
- MeSH
- Liver Abscess complications diagnosis MeSH
- Abdomen, Acute etiology MeSH
- Appendicitis complications MeSH
- Adult MeSH
- Humans MeSH
- Mesenteric Vascular Occlusion complications MeSH
- Mesenteric Veins MeSH
- Portal Vein * MeSH
- Venous Thrombosis complications diagnosis MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
- Case Reports MeSH
Pyogenic liver abscesses are caused by appendicitis in less than 10%. Also the ascending septic inflammation of portal vein (pylephlebitis) could be a serious complication of intra-abdominal infection. Although pylephlebitis is not frequent today, its' mortality and morbidity rates remain high. We describe a case of young man with fever, abdominal pain, and multiple hepatic abscesses. After the symptomatic relief due to antibiotic therapy the pain returned as a result of the development of portal and mesenteric vein thrombosis. The cause of either hepatic abscesses or thrombosis was not clear at the time of dismissal. 2 months later the patient underwent acute abdominal revision with appendectomy for acute phlegmonous and gangrenous appendicitis. Since that time he has been without any clinical symptoms.
