结肠穿孔继发门静脉脓毒症

Portal pyaemia secondary to colonic perforation.

作者信息

Wong Chee Siong, Cho Gyuseong, Godfrey Edmund M, Harper Simon

机构信息

Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK.

Department of Radiology, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

出版信息

BMJ Case Rep. 2019 Apr 15;12(4):e228400. doi: 10.1136/bcr-2018-228400.

DOI:10.1136/bcr-2018-228400

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506133/

Abstract

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. We report a case of portal pyaemia associated with multiple liver abscesses and discuss the medical and surgical management of this condition.

摘要

门静脉脓毒症或门静脉炎是门静脉系统的一种化脓性（通常为脓性）血栓性静脉炎。它可能作为腹腔内脓毒症（如憩室炎或阑尾炎）的并发症而发生。患者通常表现为高热，有时伴有黄疸。我们报告一例与多发性肝脓肿相关的门静脉脓毒症病例，并讨论该病症的内科和外科治疗。

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