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01-05-2009 | Short Report

Pylephlebitis due to perforated appendicitis in a teenager

Authors: Carina Levin, Ariel Koren, Dan Miron, Dimitry Lumelsky, Elchanan Nussinson, Leonardo Siplovich, Yoseph Horovitz

Published in: European Journal of Pediatrics | Issue 5/2009

Abstract

Pylephlebitis, a septic thrombophlebitis of the portal vein, is a life-threatening complication of intraabdominal infections, commonly associated with acute appendicitis in children, and diverticulitis in adults. A 13-year-old boy was admitted for high fever and jaundice. On the fifth day of hospitalization, ultrasound Doppler flow and Computer Tomography scan studies showed thrombosis of the portal vein and acute appendicitis. The patient was treated with antibiotics, anticoagulation and laparotomy with appendectomy. No thrombophilic risk factors were diagnosed. Our aim is to improve physicians’ awareness of this complication and emphasize the importance of early diagnosis and appropriate therapy in children in order to reduce serious complications and long-term sequels.

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Title: Pylephlebitis due to perforated appendicitis in a teenager
Authors: Carina Levin
Ariel Koren
Dan Miron
Dimitry Lumelsky
Elchanan Nussinson
Leonardo Siplovich
Yoseph Horovitz
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: European Journal of Pediatrics / Issue 5/2009
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-008-0817-8

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Pylephlebitis due to perforated appendicitis in a teenager

Abstract

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Abstract

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