Ingested foreign body causing pylephlebitis identified by trans-abdominal ultrasound

Abstract

A 51-year-old male without significant medical history was admitted to the emergency department for two-week history. The patient reported a two-week history of fever, right upper quadrant abdominal pain, nausea and vomiting. He did not respond to empirical ampicillin treatment. He admitted a history of alcohol consumption and smoking. The clinical examination revealed mild jaundice, poor dentition and moderate right upper quadrant tenderness. Laboratory analysis detected leukocytosis with neutrophilia, thrombocytosis, iron deficiency anemia, mild elevation of direct bilirubin level and moderate cholestasis.