Document Detail

A case of fulminant portal pyemia complicating hemicolectomy for polyps: literature review and case report.
MedLine Citation:
PMID:  19582518     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Portal pyaemia is a rare phenomenon that can complicate a variety of pathologies and surgical procedures. It has a predilection for elderly and immunocompromised patients.
DISCUSSION: We present a review of the related literature and report an exceptional case of fulminant portal pyaemia, with an atypical presentation in a patient with few typical risk factors, complicating an elective surgical procedure for benign disease.
CONCLUSION: Portal pyaemia is a condition which can lead to acute overwhelming sepsis and carries a high mortality. It should be considered a differential in abdominal sepsis when no overt abdominal source is found.
Ayad Harb; Olivia Smith; Helen Lloyd; Ziad Harb; John G Payne
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-07-07
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-29     Revised Date:  2011-08-04    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  926-8     Citation Subset:  IM    
Queen Mary's Hospital, Sidcup, Sidcup, UK.
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MeSH Terms
Anastomosis, Surgical / adverse effects,  methods
Colectomy / adverse effects*,  methods
Colonic Polyps / pathology,  surgery
Critical Illness
Disease Progression
Diverticulosis, Colonic / diagnosis,  surgery
Fatal Outcome
Multiple Organ Failure / diagnosis,  therapy
Portal Vein / pathology*,  radiography
Postoperative Complications / radiography,  surgery
Reoperation / methods
Sepsis / diagnosis*,  etiology,  surgery
Tomography, X-Ray Computed / methods
Comment In:
J Gastrointest Surg. 2011 Jul;15(7):1294   [PMID:  21560004 ]

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