Document Detail

Perforated diverticulum of the terminal ileum. A previously unreported cause of suppurative pylephlebitis and multiple hepatic abscesses.
MedLine Citation:
PMID:  6421554     Owner:  NLM     Status:  MEDLINE    
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.
C Navarro; D J Clain; P Kondlapoodi
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  29     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-03-29     Completed Date:  1984-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-7     Citation Subset:  AIM; IM    
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MeSH Terms
Diverticulum / complications*,  pathology
Ileal Diseases / complications*,  pathology
Intestinal Perforation / complications*,  pathology
Liver Abscess / etiology*,  pathology
Middle Aged
Phlebitis / etiology*,  pathology
Portal Vein* / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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