Pylephlebitis: a case report and review of outcome in the antibiotic era.
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.
Saxena
R
R
Department of Internal Medicine, Northeastern Ohio Universities College of Medicine, Affiliated Hospitals at Canton 44708, USA.
Adolph
M
M
Ziegler
J R
JR
Murphy
W
W
Rutecki
G W
GW
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D004239:Diverticulitis, Colonic / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D010689:Phlebitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D011169:Portal Vein / Q000000981:diagnostic imaging; D011859:Radiography; D012810:Sigmoid Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy
D000900:Anti-Bacterial Agents