Case Report
Volume 3 Issue 12 - 2020
Pylephlebitis with Portal Cavernoma, a Rare Complication of Appendicular Peritonitis in Pediatric Settings: About an Observation
Tahirou Soufiane*, Souley Abdoul Aziz, Benchekroun Zineb, Kouda François, Haloua Meryem, Alami Baderddine, Alaoui Lamrani Youssef, Maâroufi Moustapha and Boubbou Meryem
Mother-Child Radiology Department, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
*Corresponding Author: Tahirou Soufiane, Mother-Child Radiology Department, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Received: October 13, 2020; Published: November 28, 2020


Pylephlebitis is a septic thrombosis of the portal vein, most often secondary to an infectious site starting intra-abdominal. Common in adults, its occurrence in children is rare. The disease presents a low mortality, however the evolution in some cases can lead to acute complications such as acute intestinal necrosis, or chronic such as the evolution to hepatic cirrhosis.
We report a case of Pylephlebitis associated with the development of a subacute portal cavernoma, which occurred on the sixteenth day following the operative follow-up of peritonitis of appendicular origin in a 12-year-old boy. Radiological investigations made it possible to make the diagnosis and to assess the complications. The treatment required surgical revision with drainage of a residual collection from the right iliac fossa associated with medical treatment based on broad-spectrum antibiotic therapy and anticoagulation with good clinical and radiological progress.

Keywords: Pylephlebitis; Portal Cavernoma; Imaging


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Citation: Tahirou Soufiane., et al.. “Pylephlebitis with Portal Cavernoma, a Rare Complication of Appendicular Peritonitis in Pediatric Settings: About an Observation”. EC Clinical and Medical Case Reports 3.12 (2020): 21-26.

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