Tags

Type your tag names separated by a space and hit enter

Perforated diverticulum of the terminal ileum. A previously unreported cause of suppurative pylephlebitis and multiple hepatic abscesses.
Dig Dis Sci. 1984 Feb; 29(2):171-7.DD

Abstract

We describe the case of a 58-year-old man who presented to the hospital with central abdominal pain, nausea, fever, chills, and dyspnea. While in the hospital, jaundice appeared and the liver function tests revealed features of both cholestasis and hepatocellular injury. He developed gram-negative septicemia and died on the sixth hospital day. Autopsy disclosed a perforated terminal ileal diverticulum and a contiguous mesenteric abscess. There was also severe phlebitis of mesenteric venous radicles which extended superiorly to the intrahepatic portal venules and veins. The portal veins were surrounded by multiple hepatic abscesses that varied in size from microscopic to 2.5 cm. This appears to be the first report in the world literature of suppurative pylephlebitis and hepatic abscesses resulting from a perforated ileal diverticulum. The subject of small bowel non-Meckelian diverticulosis is reviewed because of the rarity of this condition and the diagnostic challenges it poses.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

6421554

Citation

Navarro, C, et al. "Perforated Diverticulum of the Terminal Ileum. a Previously Unreported Cause of Suppurative Pylephlebitis and Multiple Hepatic Abscesses." Digestive Diseases and Sciences, vol. 29, no. 2, 1984, pp. 171-7.
Navarro C, Clain DJ, Kondlapoodi P. Perforated diverticulum of the terminal ileum. A previously unreported cause of suppurative pylephlebitis and multiple hepatic abscesses. Dig Dis Sci. 1984;29(2):171-7.
Navarro, C., Clain, D. J., & Kondlapoodi, P. (1984). Perforated diverticulum of the terminal ileum. A previously unreported cause of suppurative pylephlebitis and multiple hepatic abscesses. Digestive Diseases and Sciences, 29(2), 171-7.
Navarro C, Clain DJ, Kondlapoodi P. Perforated Diverticulum of the Terminal Ileum. a Previously Unreported Cause of Suppurative Pylephlebitis and Multiple Hepatic Abscesses. Dig Dis Sci. 1984;29(2):171-7. PubMed PMID: 6421554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforated diverticulum of the terminal ileum. A previously unreported cause of suppurative pylephlebitis and multiple hepatic abscesses. AU - Navarro,C, AU - Clain,D J, AU - Kondlapoodi,P, PY - 1984/2/1/pubmed PY - 1984/2/1/medline PY - 1984/2/1/entrez SP - 171 EP - 7 JF - Digestive diseases and sciences JO - Dig Dis Sci VL - 29 IS - 2 N2 - We describe the case of a 58-year-old man who presented to the hospital with central abdominal pain, nausea, fever, chills, and dyspnea. While in the hospital, jaundice appeared and the liver function tests revealed features of both cholestasis and hepatocellular injury. He developed gram-negative septicemia and died on the sixth hospital day. Autopsy disclosed a perforated terminal ileal diverticulum and a contiguous mesenteric abscess. There was also severe phlebitis of mesenteric venous radicles which extended superiorly to the intrahepatic portal venules and veins. The portal veins were surrounded by multiple hepatic abscesses that varied in size from microscopic to 2.5 cm. This appears to be the first report in the world literature of suppurative pylephlebitis and hepatic abscesses resulting from a perforated ileal diverticulum. The subject of small bowel non-Meckelian diverticulosis is reviewed because of the rarity of this condition and the diagnostic challenges it poses. SN - 0163-2116 UR - https://www.unboundmedicine.com/medline/citation/6421554/Perforated_diverticulum_of_the_terminal_ileum__A_previously_unreported_cause_of_suppurative_pylephlebitis_and_multiple_hepatic_abscesses_ L2 - https://medlineplus.gov/smallintestinedisorders.html DB - PRIME DP - Unbound Medicine ER -