Open AccessPylephlebitis with Liver Abscess Secondary to Chronic Appendicitis: A Radiological Conundrum
Author(s) -
Santosh Darisetty,
Gavin Low
Publication year - 2016
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.4103/2156-7514.190894
Subject(s) - medicine , appendicitis , liver abscess , radiology , complication , abscess , thrombophlebitis , portal vein , vein , general surgery , surgery , thrombosis
Septic thrombophlebitis of the portal vein and/or its intra-hepatic branches (pylephlebitis) with associated liver abscess formation is a rare and potentially fatal complication of intra-abdominal infection. We present such a case that was caused by missed chronic appendicitis. Imaging findings can be complex and mimic other diseases leading to a diagnostic conundrum. Radiologists need to be knowledgeable of this challenging condition to prevent misdiagnosis and because prompt treatment is often life-saving