Tromboflebite séptica da veia porta secundária à apendicite

Fonseca-Neto, Olival Cirilo Lucena da; Vieira, Luiz Paulo Figueiredo; Miranda, Antonio Lopes de

doi:10.1590/s0102-67202007000200016

Cited by 2 publications

(5 citation statements)

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“…However, the mortality of this complication occurs in 30% to 50% of the cases [1,5]. These numbers are a consequence of the normally late diagnosis due to the absence of specifi c symptoms [1,3] The pathogenesis is not well known; therefore, two mechanisms are proposed. The fi rst one would be a bacterial translocation and adhesion of the infectious agent to the endothelium, which in turn triggers the coagulation cascade and thrombus formation.…”

Section: Discussionmentioning

confidence: 99%

“…In laboratory tests, left shift leukocytosis, alkaline phosphatase increase, and hepatic dysfunction are common [2,3]. Bacterial growth in blood culture usually occurs in 80% of patients with pylephlebitis.…”

Section: Discussionmentioning

confidence: 99%

“…The main bacteria found are from the intestinal fl ora of the patient, being Bacterioides fragilis and Escherichia coli the most frequent cause of septic thrombi. It is not necessary to wait for the result of the blood culture to start treatment [1,3].…”

Section: Discussionmentioning

confidence: 99%

“…This fact seems to be related to the advances and greater availability of imaging tests. Mortality was high in the pre-antibiotic era, when it approached 100% [3].…”

Section: Introductionmentioning

confidence: 99%

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Portal vein septic thrombosis secondary to complicated appendicitis: Case report

Quaresma¹,

Saadi²,

Garcia³

et al. 2018

Arch Clin Gastroenterol

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Background: Portal vein septic thrombophlebitis is a rare and serious event of late diagnosis and secondary to intra-abdominal infection. Case report: A 21-year-old man was admitted to the hospital with loss of weight, fever, chills, hepatosplenomegaly, and history of abdominal pain in the right iliac fossa previously treated with ciprofl oxacin. At the entrance physical examination, he was emaciated and had no signs of abdominal pain upon palpation. Computed tomography showed portal vein thrombosis and nodular image in the ileocecal region, initiating antibiotic therapy. After exploratory laparotomy, appendicitis was confi rmed and hepatic collections were found. After ten days of the procedure and the end of the antibiotic therapy, he was discharged, keeping well and without complaints. Conclusions: Septic thrombophlebitis is a rare but serious complication of non-specifi c signs and symptoms, making diagnosis diffi cult. Imaging tests are necessary that show the thrombosis to close diagnosis. Treatment should be started early, with the introduction of antibiotics and eradication of the septic focus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This fact seems to be related to the advances and greater availability of imaging tests. Mortality was high in the pre-antibiotic era, when it approached 100% [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Portal vein septic thrombosis secondary to complicated appendicitis: Case report

Quaresma¹,

Saadi²,

Garcia³

et al. 2018

Arch Clin Gastroenterol

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show abstract

“…Pylephlebitis, which is characterized by septic thrombosis of the portal vein or its branches ( 1 - 3 ) , has an annual incidence of 0.37-2.7 cases per 100,000 inhabitants per year ( 4 , 5 ) . It occurs in 0.16% of patients with intra-abdominal infections ( 4 ) .…”

mentioning

confidence: 99%