Intest Res.  2009 Dec;7(2):105-109.

A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein

Affiliations
  • 1Department of Internal Medicine, Ewha Medical Research Institute,Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr

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.

Keyword

Pylephlebitis; Cavernous Sinus Thrombosis; Inferior Mesenteric Vein; Portal Vein

MeSH Terms

Anti-Bacterial Agents
Anticoagulants
Appendicitis
Bacteria
Bacteroides fragilis
Cavernous Sinus Thrombosis
Diverticulitis
Early Diagnosis
Escherichia coli
Humans
Intraabdominal Infections
Mesenteric Veins
Portal Vein
Thrombophlebitis
Anti-Bacterial Agents
Anticoagulants
Full Text Links
  • IR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr