A Case of Septic Portal Vein Thrombophlebitis: Presenting with Fever of Unknown Origin.
- Author:
Jeong Ki KIM
1
;
Seo Na HONG
;
Bo Ra YANG
;
Jeong Ho PARK
;
Bo Hyun MOUNG
;
Jong Hee SHIN
;
Sei Jong KIM
;
Dong Hyeon SHIN
Author Information
1. Department of Internal Medicine, Chonnam National University, Medical School, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
Fever of unknown origin;
Pylephlebitis;
Pylethrombosis;
Appendicitis
- MeSH:
Anti-Bacterial Agents;
Appendicitis;
Diagnosis;
Fatal Outcome;
Female;
Fever of Unknown Origin*;
Fever*;
Humans;
Hypertension, Portal;
Incidence;
Inflammation;
Portal System;
Portal Vein*;
Thrombophlebitis*;
Thrombosis
- From:Korean Journal of Infectious Diseases
2001;33(5):346-349
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pylephlebitis is defined as an inflammation of the portal system, which is a rare but dreaded complication of intra-abdominal inflammatory processes. In the past it was observed as a sequela of neglected or complicated appendicitis. With earlier diagnosis, modern surgical technique and antibiotics, the incidence has declined even further. In addition, thrombosis in portal system (pylethrombosis) can complicate the pylephlebitis, followed by obstruction of the portal system, leading to portal hypertension in the late stage. Proper recognition of early thrombosis and an accompanying intra-abdominal inflammatory process should arouse the suspicion of septic thrombophlebitis and lead to the early institution of adequate therapy to prevent the almost universally fatal outcome. We report the case of woman who had pylephlebitis and presented with fever of unknown origin, probably associated with acute appendicitis.
