Portal pyaemia secondary to colonic perforation.

Chee Siong Wong, Gyuseong Cho, Edmund M Godfrey, Simon Harper

BMJ case reports 2019 Apr 15

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Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. We report a case of portal pyaemia associated with multiple liver abscesses and discuss the medical and surgical management of this condition. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.