[A Case of Pylephlebitis with Pseudomonas aeruginosa Sepsis and Liver Abscess Secondary to Diverticulitis].
Pylephlebitis, or suppurative thrombophlebitis of the portal venous system, is a rare condition occurring secondary to abdominal infections such as diverticulitis. Pylephlebitis can be diagnosed via ultrasonography or CT scan, and is characterized by the presence of a thrombus in the portal vein and bacteremia. However, the diagnosis may be delayed due to the vague nature of the clinical symptoms, causing morbidity and mortality due to pylephlebitis to remain high. Early diagnosis and immediate antibiotic therapy are important for favorable prognosis. Therefore, pylephlebitis should be considered in the differential diagnosis for cases of nonspecific abdominal pain and fever. We report a case of pylephlebitis secondary to diverticulitis, associated with Pseudomonas aeruginosa sepsis. Such cases have not been widely reported.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yoon Gwon
YG
Mun
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Seong Wan
SW
Son
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Minah
M
Kim
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Insoo
I
Kim
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yong Hee
YH
Kim
Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
Il Soon
IS
Jung
Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
Byeong Seong
BS
Ko
Diverticulitis; Liver abscess; Sepsis; Thrombophlebitis