Liver abscesses with portal and mesenteric vein thrombosis: a rare complication of appendicular peritonitis

Pyogenic liver abscesses are caused by appendicitis in less than 10%. Also the ascending septic inflammation of portal vein [pylephlebitis] could be a serious complication of intra-abdominal infection. Although pylephlebitis is not frequent today, its mortality and morbidity rates remain high. We describe a case of pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses, caused by appendicular peritonitis. The patient was admitted three weeks after appendectomy with the chief complaints of high fever and chills. He was diagnosed of pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses by CT-scan. He was treated with long-term antibiotics and anticoagulation