Liver Abscesses with Portal and Mesenteric Vein Thrombosis in
Combination with Late Onset of Appendicitis
Márová K., Chochola M., Goláň L., Křivánek J., Aschermann M.
II. interní klinika 1. LF UK a VFN, Praha Radiodiagnostická klinika 1. LF UK a VFN, Praha
Pyogenic liver abscesses are caused by appendicitis in less than 10 %. Also the ascending septic inflammation of portal
vein (pylephlebitis) could be a serious complication of intra-abdominal infection. Although pylephlebitis is not frequent
today, its’ mortality and morbidity rates remain high. We describe a case of young man with fever, abdominal
pain, and multiple hepatic abscesses. After the symptomatic relief due to antibiotic therapy the pain returned as
a result of the development of portal and mesenteric vein thrombosis. The cause of either hepatic abscesses or thrombosis
was not clear at the time of dismissal. 2 months later the patient underwent acute abdominal revision with
appendectomy for acute phlegmonous and gangrenous appendicitis. Since that time he has been without any clinical
liver abscess, portal and mesenteric thrombosis, appendicitis.