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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 5/2010

01-05-2010 | GI Image

A Case of Fulminant Portal Pyemia Complicating Hemicolectomy for Polyps: Literature Review and Case Report

Authors: Ayad Harb, Olivia Smith, Helen Lloyd, Ziad Harb, John G. Payne

Published in: Journal of Gastrointestinal Surgery | Issue 5/2010

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Abstract

Introduction

Portal pyaemia is a rare phenomenon that can complicate a variety of pathologies and surgical procedures. It has a predilection for elderly and immunocompromised patients.

Discussion

We present a review of the related literature and report an exceptional case of fulminant portal pyaemia, with an atypical presentation in a patient with few typical risk factors, complicating an elective surgical procedure for benign disease.

Conclusion

Portal pyaemia is a condition which can lead to acute overwhelming sepsis and carries a high mortality. It should be considered a differential in abdominal sepsis when no overt abdominal source is found.
Literature
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Plemmons RM, Dooley DP, Longfield R. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis 1995;21:1114–1120.PubMed
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Von Bertele MJ. Late presentation of portal vein thrombosis as a complication of appendicitis. J R Army Med Corps 1993;139(3):135–136.
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Al-Jahdali H, Pon C, Thompson WG, Matzinger FR. Non fatal portal pyaemia complicating Crohn’s disease of the terminal ileum. Gut 1994;35(4):560–561.CrossRefPubMed
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Ritchie JD et al. Portal pyaemia secondary to carcinoma of the rectum. Aust N Z J Surg 1975;45(3):284–285.CrossRefPubMed
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Wireko M, Berry P, Brennan J, Aga R. Unrecognised pylephlebitis causing life-threatening septic shock: a case report. World J Gastroenterol 2005;11(4):614–615.PubMed
Metadata
Title
A Case of Fulminant Portal Pyemia Complicating Hemicolectomy for Polyps: Literature Review and Case Report
Authors
Ayad Harb
Olivia Smith
Helen Lloyd
Ziad Harb
John G. Payne
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 5/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-009-0959-7

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