Pylephlebitis and septic thrombosis of the inferior mesenteric vein secondary to diverticulitis

Queiroz, Rodolfo Mendes; Sampaio, Fernando; Marques, Pedro Eduardo; Ferez, Marcus Antônio; Febrônio, Eduardo Miguel

doi:10.1590/0100-3984.2017.0046

Cited by 9 publications

(13 citation statements)

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“…However, the diagnostic modality of choice is intravenous contrast-enhanced CT, which can demonstrate thrombi (hypodense filling defects) and/or gas in the portal system (seen in 18% of cases) [6]. Unlike pneumobilia (the presence of gas in the biliary system), gas in the portal venous system extends to the hepatic periphery allowing differentiation between the two entities on imaging studies [6][7][8]. Complications of pylephlebitis include extension to the superior mesenteric vein (SMV) in 42%, thrombosis of the intrahepatic branches of PV (39%), liver abscesses (37%), splenic vein (12%), and inferior mesenteric vein thrombosis (2%).…”

Section: Discussionmentioning

confidence: 99%

Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male

Abdallah

Gohar

Gowda

et al. 2020

Case Reports in Gastrointestinal Medicine

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Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. We present a case of a 37-year-old Hispanic male who presented with acute abdominal pain and loose stools. He was initially treated for acute gastroenteritis but his clinical condition deteriorated. He was eventually diagnosed with pylephlebitis with associated inferior mesenteric vein thrombosis. He was successfully treated with IV antibiotics and warfarin. Pylephlebitis should not be overlooked as a differential in an appropriate clinic setting as it has a high mortality rate.

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Section: Discussionmentioning

confidence: 99%

Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male

Abdallah

Gohar

Gowda

et al. 2020

Case Reports in Gastrointestinal Medicine

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“…In a variety of acute abdominal conditions, CT has been used as a diagnostic tool, as well as in the evaluation of treatment efficacy (5)(6)(7)(8) . The CT findings depend on the stage of the disease and on whether the predominant component is inflammatory, fibrous, or adipose (3) .…”

Section: Dear Editormentioning

confidence: 99%

“…Although the affected area is asymptomatic, there can be accumulation of secretions, causing odor and itching; therefore, good scalp hygiene is important for symptom relief. When secondary to other etiologies, CVG usually regresses after treatment of the underlying disease, although surgical excision may be necessary in this or any of the forms of presentation (1,4,6) . Mesenteric panniculitis in a patient with rheumatoid arthritis…”

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confidence: 99%

Mesenteric panniculitis in a patient with rheumatoid arthritis

et al. 2019

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“…Because it is difficult to diagnose, MD continues to be a major challenge in medical practice (4) . Various conditions can mimic MD and its complications, such conditions including appendicitis, diverticula in other intestinal segments, ureterolithiasis, intussusception, duplication cysts, angiodysplasia, and hemorrhagic tumors (5)(6)(7)(8)(9) . Taken together with the clinical manifestations, the results of some imaging examinations, such as ultrasound and CT, aid in making the correct diagnosis.…”

Section: Dear Editormentioning

confidence: 99%