Suppurative Pylethrombophlebitis and Multiple Liver Abscesses Following Acute Appendicitis

Abstract

IN THE course of suppurative conditions of abdominal structures drained by the portal system, the development of an ascending phlebitis with embolic liver abscesses is an event to be feared by the internist and the surgeon. Although the appendix is most frequently the starting point, the process may be initiated by suppuration in the gall bladder, diverticula, intestine, pelvic structures or hemorrhoids. Its frequency varies considerably in the published reviews, ranging from 0.09 to 0.82^ per cent of the cases of acute appendicitis.1 , 2 Soro,3 in 1948, compiled 17,000 cases of acute appendicitis from the European literature from 1905 to 1935, . . .