Complicated appendiceal inflammatory disease in children: pylephlebitis and liver abscess

T. L. Slovis, J. O. Haller, H. L. Cohen, W. E. Berdon, F. B. Watts

Research output: Contribution to journalArticlepeer-review

Abstract

Five children with complicated appendiceal inflammatory disease are reported. They presented with non-specific signs and symptoms, but three had liver abscess and two had inflammation of the portal vein. The inflamed portal vein may act as a conduit to the liver for bacteria, or it may become thrombosed and cause portal hypertension and hypersplenism. In one child, symptomatic portal hypertension developed 10 years after the initial disease. In children, an ultrasonic finding of a focal liver mass of low-to-mixed echogenicity or the presence of low-attenuation areas on computed tomographic scans should suggest the possibility of a hepatic abscess, and the radiologist has a major role in suggesting complicated inflammatory disease of the appendix as the cause. Similarly, when portal vein thrombosis or portal hypertension are found, the radiologist should consider complicated inflammatory disease of the appendix as the cause.

Original languageEnglish (US)
Pages (from-to)823-825
Number of pages3
JournalRadiology
Volume171
Issue number3
StatePublished - 1989
Externally publishedYes

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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