Septic thrombosis of the portal vein: CT and clinical observations. J Comput Assist Tomogr 1989;13(4):656-8
Date
07/01/1989Pubmed ID
2745784DOI
10.1097/00004728-198907000-00018Scopus ID
2-s2.0-0024324841 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
The CT and clinical findings were reviewed in seven patients with septic thrombosis of the portal vein (STPV). Of the seven patients, five had associated pyogenic liver abscesses. Five of seven patients presented de novo with STPV without a clinically obvious extrahepatic source of intraabdominal infection. All seven patients were successfully managed nonsurgically with intravenous antibiotics and in two patients percutaneous drainage of hepatic abscesses. Serial follow-up examinations in five patients demonstrated complete resolution of portal venous thrombus in three patients and progression to cavernous transformation in two. When diagnosed early by CT or sonography, STVP may have a more benign clinical course following appropriate antibiotic therapy.
Author List
Lim GM, Jeffrey RB Jr, Ralls PW, Marn CSMESH terms used to index this publication - Major topics in bold
HumansLiver Abscess
Portal Vein
Thrombosis
Tomography, X-Ray Computed