Portal  Vein Thrombosis as  Revealed by a Post  Appendicectomy Abscess. About a Case .

Njoumi, Noueddine; Najih, Mohammed; Mouhafid, Faisal El; Friha, Mohamed

doi:10.26502/jsr.1002008

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pylephlebitis begins with thrombophlebitis of the small veins draining the infected site, which in this case might have been due to the wound at the polypectomy site. Although an associated hypercoagulable state is found in approximately 40% of patients with pylephlebitis,3 Nazir et al reported that pylephlebitis after colonic polypectomy could develop even in the absence of an underlying condition of hypercoagulation, as in this case 4. Therefore, clinicians should recognise that pylephlebitis can occur in a previously healthy patient without hypercoagulation.…”

Section: Discussionmentioning

confidence: 91%

“…It most commonly presents with abdominal pain and fever, and the organisms most frequently cultured from the blood were bacteroides (especially Bacteroides fragilis ) and Escherichia coli 2. An associated hypercoagulable state is found in approximately 40% of patients 3. Pylephlebitis after colonic polypectomy has rarely been reported in the literature, but two cases have been reported 4 5.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pylephlebitis after sigmoid colonic polypectomy

Saito

Nishizawa²,

Arioka³

2022

BMJ Case Rep

View full text Add to dashboard Cite

A man in his 40s presented with a 7-day history of fever and abdominal pain after polypectomy of the sigmoid colon. On physical examination, he had mild tenderness on deep palpation of the left lower abdominal quadrants without guarding, rigidity or rebound tenderness. Contrast-enhanced CT revealed the thrombosis of the inferior mesenteric vein and the portal vein. Blood cultures were positive forEscherichia coli. We diagnosed him with pylephlebitis after colonic polypectomy, as a rare complication. He was started on cefmetazole and heparin. Antibiotic and anticoagulation therapy were initiated. He had a complete recovery within 17 days. The patient had no evidence of underlying hypercoagulable condition, and no signs of recurrence at a 3-month follow-up. Pylephlebitis after colonic polypectomy is extremely rare. Although bacteraemia after colonoscopy was a rare complication, phlebitis should be considered in the differential diagnosis of patients who present with persisted fever and abdominal pain after polypectomy.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%