A case of successful treatment of pylephlebitis in a patient with acute appendicitis

Pylephlebitis is a rare and potentially lethal complication of acute appendicitis. It leads to the development of liver abscesses and sepsis. Usually, this complication is the result of late diagnosis. Only rare cases of successful treatment of pylephlebitis in the context of acute appendicitis are...

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Autores principales:	L. A. Otdel’nov, S. D. Parunov, M. M. Miller
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	appendicitis sepsis intraabdominal infections portal vein liver abscess venous thrombosis, case report Science Q
Acceso en línea:	https://doaj.org/article/a67b00262486470590c9d76a466fab9b
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spelling	oai:doaj.org-article:a67b00262486470590c9d76a466fab9b2021-11-23T06:14:46ZA case of successful treatment of pylephlebitis in a patient with acute appendicitis2541-94202587-959610.29413/ABS.2021-6.3.21https://doaj.org/article/a67b00262486470590c9d76a466fab9b2021-08-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2869https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Pylephlebitis is a rare and potentially lethal complication of acute appendicitis. It leads to the development of liver abscesses and sepsis. Usually, this complication is the result of late diagnosis. Only rare cases of successful treatment of pylephlebitis in the context of acute appendicitis are published in special literature.The aim of the demonstration is to analyze of the diagnosis and medical tactic mistakes as a case of pylephlebitis in a patient with acute appendicitis; show the possibilities of modern methods of diagnosis and treatment, which made it possible to achieve a success.The case of successful treatment patient with pylephlebitis was shown in the article. Late diagnosis of acute appendicitis was associated with the patient’s refusal and with some diagnostic and tactic mistakes that were analyzed. The case presented by jaundice, liver failure and fever. Thrombosis of portal vein diagnosed by U/S, CT scan with intravenous contrast on day 11 of the illness. Appendectomy was performed. Intensive care with extracorporeal therapy, antibacterial and anticoagulant therapy were also provided. Septic thrombosis of portal vein was complicated by an abscess of the right lobe of the liver and sepsis. The case of successful treatment of patient with septic thrombosis of portal vein and superior mesenteric vein complicated by liver abscess and sepsis is considered in the article. Intensive therapy, extracorporeal detoxification and abdominal abscess drainage under the U/S control have resulted in a fully repatency of portal vein that was confirmed by CT scan data.L. A. Otdel’novS. D. ParunovM. M. MillerScientific Сentre for Family Health and Human Reproduction Problemsarticleappendicitissepsisintraabdominal infectionsportal veinliver abscessvenous thrombosis, case reportScienceQRUActa Biomedica Scientifica, Vol 6, Iss 3, Pp 209-215 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	appendicitis sepsis intraabdominal infections portal vein liver abscess venous thrombosis, case report Science Q
spellingShingle	appendicitis sepsis intraabdominal infections portal vein liver abscess venous thrombosis, case report Science Q L. A. Otdel’nov S. D. Parunov M. M. Miller A case of successful treatment of pylephlebitis in a patient with acute appendicitis
description	Pylephlebitis is a rare and potentially lethal complication of acute appendicitis. It leads to the development of liver abscesses and sepsis. Usually, this complication is the result of late diagnosis. Only rare cases of successful treatment of pylephlebitis in the context of acute appendicitis are published in special literature.The aim of the demonstration is to analyze of the diagnosis and medical tactic mistakes as a case of pylephlebitis in a patient with acute appendicitis; show the possibilities of modern methods of diagnosis and treatment, which made it possible to achieve a success.The case of successful treatment patient with pylephlebitis was shown in the article. Late diagnosis of acute appendicitis was associated with the patient’s refusal and with some diagnostic and tactic mistakes that were analyzed. The case presented by jaundice, liver failure and fever. Thrombosis of portal vein diagnosed by U/S, CT scan with intravenous contrast on day 11 of the illness. Appendectomy was performed. Intensive care with extracorporeal therapy, antibacterial and anticoagulant therapy were also provided. Septic thrombosis of portal vein was complicated by an abscess of the right lobe of the liver and sepsis. The case of successful treatment of patient with septic thrombosis of portal vein and superior mesenteric vein complicated by liver abscess and sepsis is considered in the article. Intensive therapy, extracorporeal detoxification and abdominal abscess drainage under the U/S control have resulted in a fully repatency of portal vein that was confirmed by CT scan data.
format	article
author	L. A. Otdel’nov S. D. Parunov M. M. Miller
author_facet	L. A. Otdel’nov S. D. Parunov M. M. Miller
author_sort	L. A. Otdel’nov
title	A case of successful treatment of pylephlebitis in a patient with acute appendicitis
title_short	A case of successful treatment of pylephlebitis in a patient with acute appendicitis
title_full	A case of successful treatment of pylephlebitis in a patient with acute appendicitis
title_fullStr	A case of successful treatment of pylephlebitis in a patient with acute appendicitis
title_full_unstemmed	A case of successful treatment of pylephlebitis in a patient with acute appendicitis
title_sort	case of successful treatment of pylephlebitis in a patient with acute appendicitis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/a67b00262486470590c9d76a466fab9b
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A case of successful treatment of pylephlebitis in a patient with acute appendicitis

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