Pylephlebitis: a rare but possible complication of intra-abdominal infections

Pileflebitis, una complicación poco frecuente de la diverticulitis

“…2 La tromboflebitis puede provocar émbolos sépticos en hígado y abscesos, generalmente del lado derecho, debido al flujo sanguíneo de la vena mesentérica superior hacia el lóbulo hepático derecho. 3 La pileflebitis comúnmente se presenta con síntomas relativamente inespecíficos que incluyen astenia, fiebre, dolor abdominal, náuseas, vómitos, diarrea y anorexia. Los signos más avanzados incluyen hepatomegalia e ictericia, ya que puede resultar con compromiso hepático diseminado.…”

Fusobacterium necrophorum subsp. necrophorum Liver Abscess with Pylephlebitis: An Abdominal Variant of Lemierre’s Syndrome

“…In about 25 percent of cases, the etiology remains elusive despite extensive workup [3]. Pylephlebitis (suppurative thrombophlebitis of the portal vein) is a rare complication of intra-abdominal or pelvic infection [4]. Choudhry and coauthors in their retrospective analysis identified 95 patients who developed PVT following an intra-abdominal infectious process over a period of 10 years at Mayo Clinic [5].…”

“…Lemierre's syndrome is a classic example of human necrobacillosis wherein acute primary infection of oropharynx is followed by secondary septic thrombophlebitis of internal jugular vein and subsequent septic embolization at various sites [2]. Pylephlebitis (suppurative, infected portal vein thrombosis (PVT)) is a rare but serious complication of intra-abdominal or pelvic infection and is associated with significant morbidity and mortality [3,4]. Pylephlebitis due to F. necrophorum, also known as abdominal variant of Lemierre's syndrome, has been rarely reported.…”