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Portal Vein Thrombosis as Revealed by a Post- Appendicectomy Abscess. About a Case

Author(s): Faisal El mouhafid, Noueddine Njoumi, Mohamed Najih, Yasser, Brahmi, Mohamed Friha, Hicham Iraki, Abdelkader Ihirchiou, Aziz Zentar

Acute appendicitis and diverticulitis of the colon are the most frequently identified surgical causes of portal vein thrombosis. Germs cause septic thrombosis when they come into contact with the venous endothelium, which can extend to the portal vein resulting in a pylephlebitis. An abdominal CT scan allows for early diagnosis and identification of the responsible septic source. Treatment should include a combination of antibiotics and anticoagulants. Surgical treatment of the responsible infectious site should be carried out without delay. Morbidity and mortality rates decrease if early diagnosis is made and treatment instituted immediately. We report a new clinical case of portal vein thrombosis in a 60-year-old patient who presented with an abscess of the right iliac fossa following an appendicectomy.

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