Strongyloidiasis is associated with Gram-negative bacteremia. Septic portal vein thrombosis or pylephlebitis is a rare but serious complication of intra-abdominal infection, and it is often associated with Bacteroides bacteremia. We present the first report of pylephlebitis with Bacteroides bacteremia associated with underlying Strongyloides stercoralis infection and briefly review the management of septic portal vein thrombosis.
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http://dx.doi.org/10.4269/ajtmh.14-0294 | DOI Listing |
Cureus
November 2024
Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Gallbladder rupture, though rare, is a serious complication often arising from choledocholithiasis and subsequent interventions such as endoscopic retrograde cholangiopancreatography (ERCP). In this case, the patient presented with acute choledocholithiasis and underwent ERCP with sphincterotomy and stone extraction, followed by placement of a fully covered metal stent in the common bile duct (CBD). While the use of covered stents is appropriate, it is important to note that these stents can obstruct the cystic duct orifice in patients with a gallbladder.
View Article and Find Full Text PDFCureus
November 2024
Bariatric Surgery, Mexican Social Security Institute, Specialty Hospital, Western National Medical Center, Guadalajara, MEX.
One of the most serious complications after sleeve gastrectomy (SG) is a postoperative leak. Early diagnosis and treatment are essential due to potential secondary complications, such as sepsis, septic shock, and death. Less commonly known and rare complications include portal thrombosis and liver abscesses, which have been reported in only a few cases.
View Article and Find Full Text PDFCureus
November 2024
Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba / University of Tsukuba Hospital, Tsukuba, JPN.
Pylephlebitis is a rare infection, characterized by non-specific symptoms such as abdominal pain, that often leads to delayed diagnosis, yet it is a severe infection with a high mortality rate. Imaging studies are essential for diagnosis, and contrast-enhanced abdominal CT and abdominal ultrasound are commonly performed. A 51-year-old male was admitted to the hospital with fever and shock.
View Article and Find Full Text PDFActa Gastroenterol Belg
October 2024
Department of Gastroenterology and Hepatology, AZ Diest, Diest, Belgium.
Pancreatic cancer is an aggressive malignancy with poor survival rates. Pancreatic surgery has improved outcomes in the last few decades, but still contains high morbidity rates. Pancreatic fistula, delayed gastric emptying, intra-abdominal infections and bleeding are well-known complications.
View Article and Find Full Text PDFInfection
October 2024
Department of Plastic Surgery and Hand Surgery, Cantonal Hospital Aarau, Aarau, Switzerland.
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