Open AccessPortal pyaemia secondary to colonic perforation
Author(s) -
Chee Siong Wong,
Gyuseong Cho,
Edmund Godfrey,
Simon Harper
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228400
Subject(s) - medicine , diverticulitis , perforation , jaundice , complication , general surgery , sepsis , appendicitis , portal venous system , thrombophlebitis , portal hypertension , radiology , surgery , gastroenterology , thrombosis , cirrhosis , materials science , punching , metallurgy
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.