Nishimori Hidefumi, Ezoe Eiri, Ura Hideki, Imaizumi Hitoshi, Meguro Makoto, Furuhata Tomohisa, Katsuramaki Tadashi, Hata Fumitake, Yasoshima Takahiro, Hirata Koichi, Asai Yasufumi
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;34(2):173-6. doi: 10.1007/s00595-003-2654-8.
Pylephlebitis 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.
门静脉炎极为罕见，即便在现代，其死亡率也很高。它通常继发于门静脉系统引流区域或与门静脉相邻结构的感染。我们报告一例因急性阑尾炎伴阑尾系膜脓肿导致门静脉和肠系膜上静脉（SMV）发生感染性血栓性静脉炎并伴有多个肝脓肿的病例。我们实施了阑尾切除术，并使用Fogarty导管成功清除了血栓。术后组织病理学检查确诊为阑尾炎以及门静脉和SMV的感染性血栓性静脉炎。经适当的药物和手术治疗，患者完全康复。
