SciELO - Scientific Electronic Library Online

vol.61 issue2Erratic Biliary Ascariasis as an Exotic Cause of Obstructive JaundiceBogotá Pouch Plication in Difficult Closure of the Abdominal Wall author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


GUANUCHI QUITO, Franklin; MOYA ROMERO, Katherine  and  GONZALEZ RODRIGUEZ, Laura. Pylephlebitis as a Complication of Acute Appendicitis in a Pregnant Patient. Rev Cubana Cir [online]. 2022, vol.61, n.2, e1116.  Epub June 20, 2022. ISSN 0034-7493.


Pylephlebitis, septic thrombosis of the portal system due to acute abdominal inflammatory conditions, it presents with variable clinical signs depending on the cause of origin and the affected portal branch. Diagnosis includes normal or mildly impaired liver function with leukocytosis, positive blood cultures, Doppler echocardiography, or computed tomography confirming the disease.


To describe pylephlebitis as an unusual complication in a pregnant patient with acute appendicitis, referring to its concept, pathophysiology, clinical presentation, diagnosis and therapeutic measures.

Clinical case report:

This is the case of an 18-year-old female pregnant patient, who had severe abdominal pain, accompanied by vomiting, diarrhea and jaundiced stools. For such reasons, she was transferred to the Ambato General Teaching Hospital. Sepsis of abdominal origin was diagnosed due to acute perforated appendicitis, generalized peritonitis complicated with pylephlebitis. Surgical intervention was performed and the clinical condition was solved.


Pylephlebitis represents a great diagnostic difficulty, hence tools such as Doppler ultrasound and computed tomography are helpful in these cases. The mainstays of treatment include control of the abdominal septic focus and treating pylephlebitis.

Keywords : appendicitis; pregnancy; pylephlebitis; tomography..

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )