Complicated pylephlebitis secondary to perforated appendicitis in a child- A rare case report.

ABSTRACT:

Introduction and importance

Pylephlebitis is a rare and life threatening thrombophlebitis of the portal vein. It commonly occurs following intra abdominal infections like appendicitis.It is even rarer in the pediatric age group. The nonspecific presentation impedes the diagnosis. Timely use of appropriate antibiotics and control of infection is paramount in its treatment and this case report highlights the same.

Case presentation

11 year old female child from a rural area was referred from a local hospital for persistent fever and abdominal pain despite medical treatment. Workup revealed perforated appendicitis, pylephlebitis, and multiple liver abscess. She was successfully treated with appendicectomy followed by antibiotics and anticoagulants.

Clinical discussion

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SUBMITTER: Pahari S 

PROVIDER: S-EPMC9577868 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature