Yu Norimatsu, Nobuyuki Takemura, Kaoru Yoshikawa, Kyoji Ito, Fuyuki Inagaki, Fuminori Mihara, Kazuhiko Yamada, Norihiro Kokudo
BACKGROUND: Pylephlebitis, a rare and lethal form of portal venous septic thrombophlebitis, often arises from infections in regions drained by the portal vein. Herein, we report a case of peritonitis with portal vein thrombosis due to acute severe appendicitis, managed with intensive intraperitoneal drainage via open abdominal management (OAM). CASE PRESENTATION: A 19-year-old male with severe appendicitis, liver abscesses, and portal vein thrombosis developed septic shock and multi-organ failure...
April 12, 2024: Surgical Case Reports