Intest Res.
2009 Dec;7(2):105-109.
A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein
- Affiliations
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- 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.
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