A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein.
- Author:
Hae Sun JUNG
1
;
Ki Nam SHIM
;
Ji Min JUNG
;
Min Jung KANG
;
Youn Ju NA
;
Sung Ae JUNG
;
Kwon YOO
Author Information
1. Department of Internal Medicine, Ewha Medical Research Institute,Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Pylephlebitis;
Cavernous Sinus Thrombosis;
Inferior Mesenteric Vein;
Portal Vein
- MeSH:
Anti-Bacterial Agents;
Anticoagulants;
Appendicitis;
Bacteria;
Bacteroides fragilis;
Cavernous Sinus Thrombosis;
Diverticulitis;
Early Diagnosis;
Escherichia coli;
Humans;
Intraabdominal Infections;
Mesenteric Veins;
Portal Vein;
Thrombophlebitis
- From:Intestinal Research
2009;7(2):105-109
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pylephlebitis is defined as septic thrombophlebitis of the portal vein or one of its tributaries. Pylephlebitis is an uncommon and often fatal complication of intra-abdominal infections, such as diverticulitis and appendicitis. The most common bacteria isolated from patients with pylephlebitis are Escherichia coli and Bacteroides fragilis. The overall mortality rate is 32%. We describe a case of septic thrombophlebitis of the main portal vein and inferior mesenteric vein successfully treated with broad-spectrum antibiotics and anticoagulants. The early diagnosis and treatment with the timely administration of antibiotics is most important for pylephlebitis.
