Pylephlebitis: a case report and review of outcome in the antibiotic era

Am J Gastroenterol. 1996 Jun;91(6):1251-3.

Abstract

Pylephlebitis or septic thrombophlebitis of the portal vein, a precursor of hepatic abscesses, is an extremely rare and frequently fatal complication of diverticulitis. The following report describes a patient presenting with pylephlebitis and complicated diverticulitis. Diagnosis was confirmed by computed tomography. The patient had a favorable outcome with medical and surgical therapy, prompting us to evaluate historical treatment of pylephlebitis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use*
  • Combined Modality Therapy
  • Diverticulitis, Colonic / complications
  • Diverticulitis, Colonic / diagnosis
  • Diverticulitis, Colonic / therapy
  • Female
  • Humans
  • Liver Abscess / diagnosis
  • Liver Abscess / etiology
  • Liver Abscess / therapy
  • Middle Aged
  • Phlebitis / complications
  • Phlebitis / diagnosis
  • Phlebitis / drug therapy*
  • Phlebitis / etiology
  • Portal Vein* / diagnostic imaging
  • Radiography
  • Sigmoid Diseases / complications
  • Sigmoid Diseases / diagnosis
  • Sigmoid Diseases / therapy

Substances

  • Anti-Bacterial Agents