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