A case of pylephlebitis secondary to cecal diverticulitis.
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.


METHODS
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.


CONCLUSIONS
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.
Lee
Byung Kook
BK
Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Ryu
Hyun Ho
HH
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002429:Cecal Diseases / Q000150:complications*; D004238:Diverticulitis / Q000150:complications*; D006503:Hepatic Veins; D006801:Humans; D008297:Male; D008875:Middle Aged; D010689:Phlebitis / Q000209:etiology*; D011169:Portal Vein; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents