A Case of Pylephlebitis Secondary to Cecal Diverticulitis |
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Authors: | Byung Kook Lee Hyun Ho Ryu MD |
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Affiliation: | Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea |
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Abstract: | Background: Pylephlebitis, which has high rates of morbidity and mortality, is thrombosis in the hepatic and portal veins. Hypercoagulability and intra-abdominal sepsis can lead to pylephlebitis, which can progress to liver abscess, mesenteric ischemia, and infarction. Case Report: A 47-year-old man presented to the Emergency Department complaining of fever, epigastric pain, and jaundice. He was diagnosed with pylephlebitis secondary to diverticulitis, as well as having a diverticular abscess, and was treated with antibiotic therapy without surgery or anticoagulation. Conclusion: Early diagnosis is essential for the treatment of pylephlebitis. Antibiotics and anticoagulants are the mainstay of treatment for pylephlebitis; although the use of anticoagulants remains controversial. In the present case, pylephlebitis was treated successfully without anticoagulants. |
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Keywords: | pylephlebitis diverticulitis anticoagulation diverticular abscess mesenteric thrombosis |
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