Pylephlebitis, a rare complication of acute appendicitis: a case report
DOI:
https://doi.org/10.69849/c2bnqv81Keywords:
pylephlebitis, acute appendicitis, appendectomyAbstract
This is a case report on pylephlebitis, a rare complication associated with cases of inflammatory acute abdomen. In this report, the complication occurred following an episode of uncomplicated acute appendicitis treated at the General Surgery Unit of Hospital Regional da Asa Norte, Brasília, DF, Brazil. The patient underwent an appendectomy via laparotomy. On the fifth postoperative day, the patient developed an infected thrombus in the portal vein, confirmed by abdominal computed tomography angiography and bacterial growth in blood cultures.
The information for this study was obtained through the analysis of medical records, operative reports, and outpatient follow-up records, as well as through a literature review on the topic. This represents a rare case with challenging management. The case highlights severe complications that may arise after a seemingly routine episode of inflammatory acute abdomen, which may lead to sepsis and hepatic dysfunction, in addition to serving as a basis for investigating underlying hematological disorders in the patient.
Both surgical and conservative management strategies applied throughout the patient’s treatment were decisive for recovery, despite a prolonged and complex postoperative course.
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