Pereplavit

FilePlanet - acute purulent inflammation of the portal vein and its branches. Occurs as a complication of acute appendicitis, especially running, and rarely acute cholecystitis. Characterized by severe pains in the abdomen, mainly on the right, fever with large temperature, chills, sweating, jaundice, high leukocytosis. The disease develops very rapidly and quickly leads to death.
Prevention is the timely removal of the vermiform process or gallbladder. Treatment both during sepsis (see). In the initial stages it is sometimes possible to stop the development of the incipient pylephlebitis ligation veins running from the site of infection in the portal vein.

FilePlanet (pylephlebitis; from the Greek. pyle is the gate and phleps, phlebos - Vienna) is an acute purulent inflammation of the portal vein and its branches.
FilePlanet is one of the most serious complications of acute appendicitis, much less commonly, acute cholecystitis, dysentery.
Often the process of inflammation of the vermiform process moves to Vienna it mesentery, in which the formation of infected blood clots. In the future, the disease develops on the type of the rising purulent phlebitis and trombophlebitis, consistently covering v. ileocolica, v. mesenterica sup. and, finally, v. portae and its ramifications in the liver.
Very rarely acute purulent process applies, in addition to the mesenteric veins, the splenic vein or veins of the stomach.
Pathologic anatomy - see the Portal vein.
The clinical picture. Acute purulent pereplavit develops rapidly, proceeds hardly can quickly lead to death. P. often not diagnosed in vivo, as well as disease, leading to the development of P. if the characteristic of this disease the symptoms are short-lived and soon give way to the picture of the developing P., which can also be unclear.
Pereplavit followed by a strong cutting, cramping pains in the abdomen, high remitting or intermittently, fever, chills, significant leukocytosis (number of cells reaches 25 000-30 000). Pain intensity and persistence have known similarity with pain in acute pancreatitis. More often they are localized in the right part of the stomach and in the right hypochondrium; often, however, the localization of pain uncertain. There are bloating, nausea, vomiting, and sometimes diarrhea. In more rare cases bloody vomiting and tarry stool (portal hypertension).
Later in the further development of the disease join the symptoms of peritoneal irritation (showing the development of peritonitis), enlarged liver, spleen, the emergence of ascites.
The observed later yellowness of the sclera and skin speaks about the distribution process at the end of intrahepatic branch of the portal vein with the formation of abscesses that usually mistakenly regarded as cholecystitis, cholangitis, typhoid fever, sepsis and other
The prognosis for pylephlebitis unfavorable. It is difficult to count on the success of one or another method of treatment is conservative (antibiotics) or operational (tubal v. ileocolica, v. mesenterica, v. portae, opening a separate abscesses of the liver).
Treatment - surgery in the early stages of the disease. The operation involves removing the source of the disease (the vermiform process, inflamed gallbladder) and bandaged v. ileocolica that a number of authors recommends that when the first signs P. (high temperature, chills, leukocytosis) to prevent its further spread. On the practical value of this theory based operations is difficult to judge, because early diagnosis is very difficult P..
The best prevention of pylephlebitis is early surgical intervention in acute inflammatory processes in the abdominal cavity (acute appendicitis and acute cholecystitis).