PT - JOURNAL ARTICLE AU - Chee Siong Wong AU - Gyuseong Cho AU - Edmund M Godfrey AU - Simon Harper TI - Portal pyaemia secondary to colonic perforation AID - 10.1136/bcr-2018-228400 DP - 2019 Apr 01 TA - BMJ Case Reports PG - e228400 VI - 12 IP - 4 4099 - http://casereports.bmj.com/content/12/4/e228400.short 4100 - http://casereports.bmj.com/content/12/4/e228400.full SO - BMJ Case Reports2019 Apr 01; 12 AB - 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.