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PORTAL PYÆMIA FOLLOWING ACUTE APPENDICITIS: CASE OF MULTIPLE LIVER ABSCESSES WITH RECOVERY 1
Author(s) -
HOWARD. RUSSELL N.
Publication year - 1940
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1940.tb07134.x
Subject(s) - medicine , complication , acute appendicitis , appendicitis , abscess , surgery , portal vein , ligation , liver abscess , general surgery , radiology
Summary. 1. A case of portal pyaemia in which thex'e were multiple hepatic abscesses that complicated acute appendicitis and in which the patient recovered after surgical drainage, is reported. 2. The literature on portal pyaemia following appendicitis is reviewed and the recorded cases of recovery are tabulated. 3. A comprehensive account of the condition, as a complication of appendicitis, is given. 4. As a result of the perusal of the literature, the following conclusions are drawn: (i) Early operative treatment of acute appendicitis would greatly diminish this already uncommon complication, (ii) The prognosis of portal pyaemia should be greatly improved by early ligation of the ileocolic vein proximal to the clot, (iii) Liver abscess formation, while of serious import, is not necessarily fatal. 5. It is suggested that sulphonamide therapy should be of considerable service in the treatment of this disease.