title: [Portal vein thrombosis associated with biliary tract infection].
abstract: OBJECTIVE
  To describe the etiology, symptoms and management of portal vein thrombosis associated with biliary tract infection and to compare our findings with classical causes of pylephlebitis.
  
  
  METHODS
  We performed a retrospective descriptive study of 10 patients in a tertiary hospital.
  
  
  RESULTS
  Portal vein thrombosis was associated with biliary tract infection in seven patients and with classical causes of pylephlebitis in three. In both groups, symptoms consisted of fever and abdominal pain accompanied by leukocytosis and increased liver enzymes. Blood cultures were positive in most patients and the main complication was liver abscess. The therapeutic management and outcomes were similar in both groups.
  
  
  CONCLUSIONS
  Portal vein thrombosis can be associated with biliary tract infection. Clinical presentation and outcomes are highly similar to those in classical causes of pylephlebitis.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, España. drgarciagutierrez@gmail.com
authors.forename: Manuel
authors.initials: M
authors.lastname: García-Gutiérrez
authors.forename: Rafael
authors.initials: R
authors.lastname: Luque-Márquez
authors.forename: Santiago
authors.initials: S
authors.lastname: Rodríguez-Suárez
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D000410:Alanine Transaminase / Q000097:blood; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001219:Aspartate Aminotransferases / Q000097:blood; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy; D006528:Carcinoma, Hepatocellular / Q000150:complications; D002761:Cholangitis / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging / Q000379:methods; D004322:Drainage; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D007964:Leukocytosis / Q000209:etiology; D008113:Liver Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D010689:Phlebitis / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D011169:Portal Vein / Q000473:pathology*; D012189:Retrospective Studies; D020246:Venous Thrombosis / Q000097:blood / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005723:gamma-Glutamyltransferase / Q000097:blood
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D005723:gamma-Glutamyltransferase; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase