Pylephlebitis of the portal vein complicating intragastric migration of an adjustable gastric band.
Pylephlebitis, or septic thrombophlebitis of the portal vein, is an infrequent but life-threatening complication of abdominal septic events. The authors report the occurrence of pylephlebitis and multiple liver abscesses induced by a neglected intra-gastric migration of an adjustable silicone gastric band. The patient was successfully treated by broad-spectrum antibiotics and total gastrectomy with Roux-en-Y esophago-jejunostomy. Postoperative recovery was marked by acute liver failure that was managed conservatively. The patient is alive and well at 1-year follow-up. This case emphasizes the interest in early removal of the band when intra-gastric migration is diagnosed.
Department of Abdominal Surgery and Transplantation, University of Liège, Liège, Belgium.
Arnaud
A
De Roover
Olivier
O
Detry
Carla
C
Coimbra
Etienne
E
Hamoir
Pierre
P
Honoré
Michel
M
Meurisse
D000713:Anastomosis, Roux-en-Y; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D005743:Gastrectomy; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017114:Liver Failure, Acute / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D011169:Portal Vein; D013270:Stomach; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents