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Complicated appendiceal inflammatory disease in children: pylephlebitis and liver abscess.
Radiology. 1989 Jun; 171(3):823-5.R

Abstract

Five children with complicated appendiceal inflammatory disease are reported. They presented with nonspecific 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.

Authors+Show Affiliations

Department of Radiology, Children's Hospital of Michigan, Detroit 48201.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2655006

Citation

Slovis, T L., et al. "Complicated Appendiceal Inflammatory Disease in Children: Pylephlebitis and Liver Abscess." Radiology, vol. 171, no. 3, 1989, pp. 823-5.
Slovis TL, Haller JO, Cohen HL, et al. Complicated appendiceal inflammatory disease in children: pylephlebitis and liver abscess. Radiology. 1989;171(3):823-5.
Slovis, T. L., Haller, J. O., Cohen, H. L., Berdon, W. E., & Watts, F. B. (1989). Complicated appendiceal inflammatory disease in children: pylephlebitis and liver abscess. Radiology, 171(3), 823-5.
Slovis TL, et al. Complicated Appendiceal Inflammatory Disease in Children: Pylephlebitis and Liver Abscess. Radiology. 1989;171(3):823-5. PubMed PMID: 2655006.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complicated appendiceal inflammatory disease in children: pylephlebitis and liver abscess. AU - Slovis,T L, AU - Haller,J O, AU - Cohen,H L, AU - Berdon,W E, AU - Watts,F B,Jr PY - 1989/6/1/pubmed PY - 2001/3/28/medline PY - 1989/6/1/entrez SP - 823 EP - 5 JF - Radiology JO - Radiology VL - 171 IS - 3 N2 - Five children with complicated appendiceal inflammatory disease are reported. They presented with nonspecific 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. SN - 0033-8419 UR - https://www.unboundmedicine.com/medline/citation/2655006/Complicated_appendiceal_inflammatory_disease_in_children:_pylephlebitis_and_liver_abscess_ L2 - https://pubs.rsna.org/doi/10.1148/radiology.171.3.2655006?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -