Pylephlebitis due to .

BMJ Case Rep

Division of Rheumatology, JR Tokyo General Hospital, Shibuya-ku, Tokyo, Japan.

Published: May 2022

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9115020PMC
http://dx.doi.org/10.1136/bcr-2022-250014DOI Listing

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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.

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Article Synopsis
  • - Pylephlebitis is a serious condition characterized by the infection and inflammation of the portal vein, often arising from abdominal infections.
  • - The case discussed involves a patient with hypermucoviscous pneumonia who developed pylephlebitis, treated with antibiotics and anticoagulants, but ultimately suffered liver failure.
  • - Persistent bacteremia after pneumonia can lead to complications like portal vein inflammation, highlighting the need for thorough monitoring and investigation in such cases.
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Pylephlebitis, which is a type of septic thrombophlebitis of the portal vein, is a rare and life-threatening complication that commonly occurs following appendicitis. However, nonspecific abdominal complaints and fever can impede the diagnosis of pylephlebitis. Timely use of appropriate antibiotics and anticoagulants is paramount for treating this condition.

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