Hepatitis After Abdominal Infection
Liver abnormality can certainly result after an abdominal infectious process such as burst appendix. It may happen from one of the several possible causes.
There is a recognized complication of appendicitis called septic thrombophlebitis (pylephlebitis) of the portal venous system, though it’s quite rare. It occurs when the infection spreads from an appendix to the liver through portal venous system. It usually presents with high fever, chills, bacteremia, and jaundice.
Another complication of abdominal infections is pyogenic abscess of liver. It’s a collection of pus in the liver that occurs when the infection spreads from abdominal organs to the liver. It spreads either via the hepatic artery (secondary to bacteremia); direct extension from an infectious process; or traumatic implantation of bacteria through the abdominal wall. It usually presents with abdominal pain, nausea, vomiting and fever.
Both of the above conditions may be diagnosed with the help of CT scan or MRI. The treatment usually is a course of antibiotics. Liver abscess may sometimes require surgical drainage.
Sometimes the bacterial toxins that are produced during abdominal infections can cause liver inflammation.