Acta Pediátrica de México

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>Journals >Acta Pediátrica de México >Year 2009, Issue 1

Baeza-Herrera C, Arcos-Aponte A, Cortés-García R, González-Mateos T, Castillo-Aguirre AI
Pylephlebitis and hepatic abscess in infants
Acta Pediatr Mex 2009; 30 (1)

Language: Español
References: 17
Page: 18-22
PDF: 72.62 Kb.

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Introduction: Septic pylephlebitis of the portal vein is a rare but potencially severe complication of abdominal sepsis. We report two patients with perforated appendicitis associated with pylephlebitis and liver abscess, who required liver percutaneous drainage and antibiotics. The diagnosis and treatment options are discussed.
Conclusions: This condition requires drainage of the abscess, and antibiotic therapy, both of which were successfully used in our patients.

Key words: Pylephlebitis, liver abscess, intraabdominal infection, appendicitis.


  1. Tandon R, Davidoff A, Worthington GM, Ross JJ. Pylephlebitis after CT-guided percutaneous liver biopsy. AJR 2005;184:S70-S72.

  2. Ohtake H, Urayama H, Nozaki Z, Harada T, Kawasuji, Watanambe Y. Surgical drainage for idiopathic suppurative pylephlebitis. Ann Vasc Surg 1998;12:83-5.

  3. Dourakis SP, Tsochatzis E, Alexopoulo A, Archimandritis AJ. Pylephlebitis complicating silent diverticulitis. Lancet 2006;368:422.

  4. Baril N, Wren S, Radin R, Ralls P, Satín S. The role of anticoagulation in pylephlebitis. Am J Surg 1996;172:449-53.

  5. Baeza HC, Guido OR, González JAG, Rojas EA. Apendicitis en menores de tres años. Rev Gastroenterol Mex 1994;59:213-7.

  6. Chang TN, Tang L, Keller K, Harrison RM, Farmer LD, Albanese TC. Pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses owing to perforated appendicitis. J Pediatr Surg 2001;36:19-21.

  7. Babcock SD. Ultrasound diagnosis of portal vein thrombosis as a complication of appendicitis. AJR 1979;133:317-9.

  8. Slovis LT, Haller OJ, Cohen LH, Berdon EW, Watts BF. Complicated appendiceal infl ammatory disease in children: Pylephlebitis and liver abscess. Radiology 1989;171:823-5.

  9. Ochsner A, DeBakey M, Murray S. Pyogenic abscess of the liver. Am J Surg 1938;40:292-319. (Citado por Chang).

  10. Tsao YT, Lin SH, Cheng CJ, Chang FY. Pylephlebitis associated with acute infected choledocholithiasis. Am J Med Sci 2006;332:85-7.

  11. Vanamo K, Kietara O. Pylephlebitis after appendicitis in a child. J Pediatr Surg 2001;36:1574-6.

  12. Nobili C, Uggeri F, Romano F, Degrate L, Caprotti R, Perego P, Franciosi C, Uggeri F. Pylephlebitis and mesenteric thrombophlebitis in sigmoid diverticulitis: medical approach, delayed surgery. Dig Liver Dis 2007;39:1088-90.

  13. Mathieu D, Vasile N, Grenier P. Portal thrombosis: Dynamic CT features and course. Radiology 1984;154:737-41.

  14. Farin P, Paajanen H, Miettinen P. Intraoperative US diagnosis of pylephlebitis (portal vein thrombosis) as a complication of appendicitis: A case report. Abdom Imaging 1997;22:401-3.

  15. Kader HA, Baldassano HR, Harty PM, Nicotra JJ, von Allmen D, Finn L et al. Ruptured retrocecal appendicitis in an adolescent presenting as a portal-mesenteric thrombosis and pylephlebitis. J Pediatr Gastroenterol Nutrition 1998;27:584-8.

  16. Tung JY, Johnson J, Liacouras AC. Portal-mesenteric pylephlebitis with hepatic abscesses in a patient with Chron´s disease treated successfully with anticoagulation and antibiotics. J Pediatr Gastroenterol Nutrition 1996;23:474-8.

  17. Pelsang RE, Johlin F, Dhadha R, Bogdanowicz M. Management of suppurative pylephlebitis by percutaneous drainage: Placing a drainage catheter into the portal vein. Am J Gastroenterol 2001;96:3192-4.

>Journals >Acta Pediátrica de México >Year 2009, Issue 1

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