• Surgery today · Jan 2004

    Case Reports

    Septic thrombophlebitis of the portal and superior mesenteric veins as a complication of appendicitis: report of a case.

    • Hidefumi Nishimori, Eiri Ezoe, Hideki Ura, Hitoshi Imaizumi, Makoto Meguro, Tomohisa Furuhata, Tadashi Katsuramaki, Fumitake Hata, Takahiro Yasoshima, Koichi Hirata, and Yasufumi Asai.
    • Department of Emergency and Critical Care Medicine, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan.
    • Surg. Today. 2004 Jan 1;34(2):173-6.

    AbstractPylephlebitis is extremely rare and associated with high mortality, even in this modern era. It usually occurs secondary to infection in the region drained by the portal systems or in the structure contiguous to the portal vein. We report a case of septic thrombophlebitis of the portal and superior mesenteric veins (SMV) with multiple liver abscesses caused by acute appendicitis with an abscess of the mesoappendix. We performed appendectomy and successfully removed the thrombi using a Fogarty catheter. Postoperative histopathological examination confirmed a diagnosis of appendicitis and septic thrombophlebitis of the portal vein and SMV. The patient recovered completely with appropriate medical and surgical treatment.

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