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Case report


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

Divya SantoshGavin Low
Department of Radiology and Diagnostic Imaging, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
Date of Submission: 06-Jun-2016, Date of Acceptance: 25-Aug-2016, Date of Web Publication: 20-Sep-2016.
Corresponding Author:
Corresponding Author

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.
E-mail: divyasantosh@gmail.com

Corresponding Author:
Corresponding Author

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.
E-mail: divyasantosh@gmail.com

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ABSTRACT


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.
Keywords: Chronic Appendicitis, Liver Abscess, Pylephlebitis

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