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Portal pyaemia secondary to colonic perforation
  1. Chee Siong Wong1,
  2. Gyuseong Cho1,
  3. Edmund M Godfrey2 and
  4. Simon Harper1
  1. 1 Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK
  2. 2 Department of Radiology, Addenbrooke’s Hospital, Cambridge, Cambridgeshire, UK
  1. Correspondence to Mr.  Chee Siong Wong, m.wong4{at}


Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. We report a case of portal pyaemia associated with multiple liver abscesses and discuss the medical and surgical management of this condition.

  • general surgery
  • gastrointestinal surgery

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  • CSW and GC contributed equally.

  • Contributors CSW and GC drafted the manuscript and obtained consent and images. CSW and GC are both the first authors and share equal contribution in writing of this manuscript. EMG and SH proofread and approved the final submission of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.