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Case Reports in Radiology
Volume 2013, Article ID 627521, 3 pages
Case Report

Acute Appendicitis Complicated by Pylephlebitis: A Case Report

Department of Radiology, Hospital de S. Joao, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal

Received 10 September 2013; Accepted 2 October 2013

Academic Editors: M. Hashimoto, E. Kocakoc, and A. Matsuno

Copyright © 2013 Ricardo Castro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pylephlebitis is defined as septic thrombophlebitis of the portal vein. It is a rare but serious complication of an intraabdominal infection, more commonly diverticulitis and appendicitis. It has an unspecific clinical presentation and the diagnosis is difficult. The authors report a case of a 21-year-old man with acute appendicitis complicated by pylephlebitis. The diagnosis was made with contrast enhanced CT.