Korean J Med.  2019 Aug;94(4):375-378. 10.3904/kjm.2019.94.4.375.

Extensive Pylephlebitis and a Liver Abscess Combined with Streptococcus Intermedius Sepsis

• Song JE
• Kim BS

• KMID: 2454682
• DOI: http://doi.org/10.3904/kjm.2019.94.4.375

Abstract

Pylephlebitis (septic thrombophlebitis of the portal venous system) is a rare but serious complication of intra-abdominal infections that drain into the portal venous system. Its diagnosis is based on imaging; computed tomography may reveal a thrombus in the portal vein. Bacteremia may also be evident. As the symptoms are nonspecific, early clinical diagnosis is difficult, and delayed treatment can compromise outcomes. We report a case with extensive pylephlebitis and a liver abscess associated with Streptococcus intermedius sepsis; the case was treated successfully with antibiotics and anticoagulants. Such cases have not been widely reported.

Keyword

Thrombophlebitis; Liver abscess; Streptococcus intermedius

MeSH Terms

Anti-Bacterial Agents
Anticoagulants
Bacteremia
Diagnosis
Intraabdominal Infections
Liver Abscess*
Liver*
Portal Vein
Sepsis*
Streptococcus intermedius*
Streptococcus*
Thrombophlebitis
Thrombosis
Anti-Bacterial Agents
Anticoagulants