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CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 37

Pylephlebitis with Liver Abscess Secondary to Chronic Appendicitis: A Radiological Conundrum


Department of Radiology and Diagnostic Imaging, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada

Correspondence Address:
Divya Santosh
Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, 2A2.41 204, 10745-83rd Avenue North West, Edmonton, Alberta T6E 2E5
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.190894

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Septic thrombophlebitis of the portal vein and/or its intra-hepatic branches (pylephlebitis) with associated liver abscess formation is a rare and potentially fatal complication of intra-abdominal infection. We present such a case that was caused by missed chronic appendicitis. Imaging findings can be complex and mimic other diseases leading to a diagnostic conundrum. Radiologists need to be knowledgeable of this challenging condition to prevent misdiagnosis and because prompt treatment is often life-saving.


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