A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein

Septic thrombophlebitis of the portal vein (STPV) is an extremely rare but potentially fatal complication of acute appendicitis. Patients often present with fever and abdominal pain. In patients presenting with these symptoms, deterioration in liver function tests and right upper quadrant pain shoul...

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Main Authors: Muhammet Ikbal Isik, Ferhat Cuce, Mustafa Tasar
Format: Article
Language:English
Published: Galenos Publishing House 2025-01-01
Series:Haseki Tıp Bülteni
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Online Access:https://www.hasekidergisi.com/articles/a-rare-complication-of-perforated-appendicitis-in-an-adult-septic-thrombophlebitis-of-the-portal-vein/doi/haseki.galenos.2025.36349
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author Muhammet Ikbal Isik
Ferhat Cuce
Mustafa Tasar
author_facet Muhammet Ikbal Isik
Ferhat Cuce
Mustafa Tasar
author_sort Muhammet Ikbal Isik
collection DOAJ
description Septic thrombophlebitis of the portal vein (STPV) is an extremely rare but potentially fatal complication of acute appendicitis. Patients often present with fever and abdominal pain. In patients presenting with these symptoms, deterioration in liver function tests and right upper quadrant pain should be taken into consideration when evaluating thrombophlebitis. It is thought that the infective process originating from the areas drained by the portal vein plays a role in the etiology of STPV. In this case, we aimed to present the imaging findings of STPV, a rare complication of perforated appendicitis, and to raise awareness of the diagnostic approach.
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spelling doaj-art-8be55d6670504895b0b5acd7a679a5062025-08-20T03:52:37ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882025-01-01631464810.4274/haseki.galenos.2025.36349A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal VeinMuhammet Ikbal Isik0https://orcid.org/0000-0002-2132-8457Ferhat Cuce1https://orcid.org/0000-0003-1831-3868Mustafa Tasar2https://orcid.org/0000-0002-4677-3928University of Health Sciences Turkey Gulhane Training and Research Hospital, Clinic of Radiology, Ankara, TurkeyUniversity of Health Sciences Turkey Gulhane Training and Research Hospital, Clinic of Radiology, Ankara, TurkeyUniversity of Health Sciences Turkey Gulhane Training and Research Hospital, Clinic of Radiology, Ankara, TurkeySeptic thrombophlebitis of the portal vein (STPV) is an extremely rare but potentially fatal complication of acute appendicitis. Patients often present with fever and abdominal pain. In patients presenting with these symptoms, deterioration in liver function tests and right upper quadrant pain should be taken into consideration when evaluating thrombophlebitis. It is thought that the infective process originating from the areas drained by the portal vein plays a role in the etiology of STPV. In this case, we aimed to present the imaging findings of STPV, a rare complication of perforated appendicitis, and to raise awareness of the diagnostic approach.https://www.hasekidergisi.com/articles/a-rare-complication-of-perforated-appendicitis-in-an-adult-septic-thrombophlebitis-of-the-portal-vein/doi/haseki.galenos.2025.36349portal veinthrombophlebitisappendicitisphlebitis
spellingShingle Muhammet Ikbal Isik
Ferhat Cuce
Mustafa Tasar
A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
Haseki Tıp Bülteni
portal vein
thrombophlebitis
appendicitis
phlebitis
title A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
title_full A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
title_fullStr A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
title_full_unstemmed A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
title_short A Rare Complication of Perforated Appendicitis in an Adult: Septic Thrombophlebitis of the Portal Vein
title_sort rare complication of perforated appendicitis in an adult septic thrombophlebitis of the portal vein
topic portal vein
thrombophlebitis
appendicitis
phlebitis
url https://www.hasekidergisi.com/articles/a-rare-complication-of-perforated-appendicitis-in-an-adult-septic-thrombophlebitis-of-the-portal-vein/doi/haseki.galenos.2025.36349
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