Case ReportsPylephlebitis after appendicitis in a child☆
Section snippets
Case report
A 7-year-old girl with previously diagnosed asthma had abdominal pain, vomiting, diarrhea, and fever to 40°C 2 weeks before admission. The pain, vomiting, and diarrhea improved after 4 days, but a recurrent high fever to 40°C with rigors persisted. Evaluation in the local health center and a brief stay in the hospital failed to establish the etiology. Eleven days after the beginning of the symptoms she was readmitted in the local hospital with a recurrent high fever, fluctuating epigastric
Discussion
There are few reports of portal and mesenteric vein thrombosis in pediatric patients with appendicitis.1, 2, 3 The process begins as a thrombophlebitis of a small vein draining the infected organ. The thrombus spreads to a larger collecting vessel, and pieces of infected thrombus break off and are swept into the liver. Hepatic abscesses may ensue, or the thrombosis may progress to involve the mesenteric veins, leading to bowel ischemia, infarction, and death. Before the advent of antibiotics,
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Complicated pylephlebitis secondary to perforated appendicitis in a child- A rare case report
2022, Annals of Medicine and SurgeryCitation Excerpt :Nonspecific presentation makes its diagnosis difficult. The presentation may include spiking fever, right upper quadrant abdominal pain, anorexia, weight loss and malaise [6]. However, children may present with subtle findings [6].
Mesenteric venous thrombosis complicating acute appendicitis: A case series
2020, International Journal of Surgery Case ReportsCitation Excerpt :In the pre-antibiotic era there were many reported cases of pylephlebitis with obliteration of the portal venous and splenic veins with extension to the distal mesenteric veins [7]. Modern literature contains only small cases series and case reports of MVT complicating acute appendicitis [6,8–11]. The overall purpose of this study was to assess the modern incidence of MVT in the setting of acute appendicitis, review patient management for identified cases, and define optimal management for this rare presentation.
Sessile serrated adenoma/polyp leading to acute appendicitis with multiple pyogenic liver abscesses: A case report
2018, International Journal of Surgery Case ReportsComplications in common general pediatric surgery procedures
2016, Seminars in Pediatric SurgeryPylephlebitis Complicating Acute Appendicitis: Prompt Diagnosis with Contrast-Enhanced Computed Tomography
2016, Journal of Emergency MedicineMesenteric vein thrombosis following laparoscopic appendectomy
2014, Journal of Pediatric Surgery Case Reports
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Address reprint requests to Kari Vanamo, MD, PhD, Department of Pediatric Surgery, Kuopio University Hospital, 70211 Kuopio, Finland.