title: Septic thrombophlebitis of the portal vein due to acute cholecystitis.
abstract: BACKGROUND
  pylephlebitis is a rare complication of intraabdominal infections. Clinical presentation can be varied; therefore, it is necessary to carry out imaging tests for diagnosis. The treatment of choice is wide-spectrum antibiotic therapy and surgery for the source of infection.
  
  
  METHODS
  we report the case of a female with acute abdomen who was diagnosed with acute cholecystitis and right portal vein thrombosis. The patient underwent surgery and antibiotic treatment was necessary. CT scan showed hepatic infarction secondary to portal thrombosis.
  
  
  CONCLUSIONS
  pylephlebitis presents high mortality rates without treatment; therefore, early diagnosis is necessary in order to initiate appropriate medical and surgical treatment.
authors.affiliation: Servicio de Cirugía General y de Aparato Digestivo, Hospital General de Ciudad Real, Ciudad Real, España. pablomensan@hotmail.com
authors.forename: Pablo
authors.initials: P
authors.lastname: Menéndez-Sánchez
authors.forename: Daniel
authors.initials: D
authors.lastname: Gambí-Pisonero
authors.forename: Pedro
authors.initials: P
authors.lastname: Villarejo-Campos
authors.forename: David
authors.initials: D
authors.lastname: Padilla-Valverde
authors.forename: Jesús
authors.initials: J
authors.lastname: Martín-Fernández
mesh_terms: D000208:Acute Disease; D000368:Aged; D002764:Cholecystitis / Q000150:complications*; D005260:Female; D006801:Humans; D011169:Portal Vein; D018805:Sepsis / Q000209:etiology*; D013924:Thrombophlebitis / Q000209:etiology*