Pylephlebitis with Liver Abscess Secondary to Chronic Appendicitis: A Radiological Conundrum

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Abstract

Septic thrombophlebitis of the portal vein and/or its intra-hepatic branches (pylephlebitis) with associated liver abscess formation is a rare and potentially fatal complication of intra-abdominal infection. We present such a case that was caused by missed chronic appendicitis. Imaging findings can be complex and mimic other diseases leading to a diagnostic conundrum. Radiologists need to be knowledgeable of this challenging condition to prevent misdiagnosis and because prompt treatment is often life-saving.

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Santosh, D., & Low, G. (2016). Pylephlebitis with Liver Abscess Secondary to Chronic Appendicitis: A Radiological Conundrum. Journal of Clinical Imaging Science, 6(3). https://doi.org/10.4103/2156-7514.190894

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