title: Septic thrombophlebitis of the porto-mesenteric veins as a complication of acute appendicitis.
abstract: Pylephlebitis, a rare complication of acute appendicitis, is defined as thrombophlebitis of the portal venous system. Pylephlebitis usually occurs due to secondary infection in the region drained into the portal system. We report a case of pylephlebitis caused by acute appendicitis. The patient was transferred from a private clinic 1 wk after appendectomy with the chief complaints of high fever and abdominal pain. He was diagnosed with pylephlebitis of the portal vein and superior mesenteric vein by CT-scan. The patient was treated with antibiotics and anticoagulation therapy, and discharged on the 25th day and follow-up CT scan showed a cavernous transformation of portal thrombosis.
authors.affiliation: Department of Surgery, Kyung Hee University Neo Medical Center, Kyung Hee University College of Medicine, Gangdong-gu, Seoul 134-727, South Korea.
authors.forename: Yeon-Soo
authors.initials: YS
authors.lastname: Chang
authors.forename: Sun-Young
authors.initials: SY
authors.lastname: Min
authors.forename: Sun-Hyung
authors.initials: SH
authors.lastname: Joo
authors.forename: Suk-Hwan
authors.initials: SH
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications*; D001424:Bacterial Infections / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology*; D013924:Thrombophlebitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants