Pylephlebitis due to perforated diverticulitis.
Pylephlebitis or septic thrombophlebitis of the portal vein is an uncommon and frequently fatal complication of diverticulitis. We describe a case report of a patient with pylephlebitis due to a perforation of the sigmoid. The patient was successfully treated with broad spectrum antibiotics and a Hartmann procedure.
Van De Wauwer
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Department of surgery, Royal Devon and Exeter Hospital, Exeter, UK. cvandewauwer@hotmail.com
Irvin
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D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D004239:Diverticulitis, Colonic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D018570:Risk Assessment; D012810:Sigmoid Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents