급성 충수염의 합병증으로 발생한 문맥염
Pylephlebitis as a Complication of Acute Appendicitis
허훈, 김욱, 이도상, 박일영, 성기영, 원종만,
소속 상세정보
허훈 ( Hur Hoon )
가톨릭대학교 의과대학 성가병원 외과
김욱 ( Kim Wook )
가톨릭대학교 성가병원 외과학교실
이도상 ( Lee Do-Sang )
가톨릭대학교 성가병원 외과학교실
박일영 ( Park Il-Young )
가톨릭대학교 성가병원 외과학교실
성기영 ( Sung Gi-Young )
가톨릭대학교 성가병원 외과학교실
원종만 ( Won Jong-Man )
가톨릭대학교 성가병원 외과학교실
KMID : 0371320030640020180
Abstract
Pylephlebitis is defined as septic thrombophlebitis of the portal vein or one of its tributaries, and is usually secondary to an infection in the region drained by the portal venous system. Pylephlebitis is extremely rare today but high mortality still persists. It is a severe complication of acute appendicitis and other intraabdominal and pelvic infections. The patient presents with high fever, chills, leukocytosis, altered liver function, and sometimes jaundice. We describes two cases of
pylephlebitis with acute appendicitis. One patient had pylephlebitis with multiple liver abscess and the other had superior mesnteric vein thrombi without liver abscesses. Both the patients had favorable outcomes with medical and surgical therapy. The early diagnosis and treatment with the timely administration of antibiotics and surgical therapy is most important for pylephlebitis.
키워드
급성 충수염;문맥염
Acute appendicitis;Pylephlebitis
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