Tags

Type your tag names separated by a space and hit enter

Pylephlebitis and mesenteric thrombophlebitis in sigmoid diverticulitis: medical approach, delayed surgery.
Dig Liver Dis. 2007 Dec; 39(12):1088-90.DL

Abstract

A 57-year-old woman presented with fever, vomiting and arthralgia, with a history of rheumatoid arthritis. Laboratory tests showed leucocytes, anaemia and elevation of C-reactive-protein (CRP). Blood cultures were positive for Gram negative bacteria and Streptococcus viridans. Patient underwent abdominal Computed Tomography (CT) scan revealing sigmoid acute diverticulitis with peridiverticular abscesses and thrombophlebitis within the inferior mesenteric and portal veins. She started antibiotic and anticoagulant therapy. After 20 days, a second CT revealed a thrombosis involving the superior mesenteric vein also. After 22 days of therapy the patient was discharged with the resolution of the septic status. Two months after discharge the patient underwent left hemicolectomy for a histopathologically documented diverticulitis with an uneventful postoperative course. This is a description of a rare association of septic thrombosis within the portal, inferior mesenteric and superior mesenteric veins during acute sigmoid diverticulitis with abdominal abscesses. Our therapeutic strategy was a first line medical approach and delayed surgery.

Authors+Show Affiliations

Department of Surgery, San Gerardo Hospital, University of Milano-Bicocca, Via Donizetti 106, 20052 Monza, Milan, Italy. cinzia.nobi@libero.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17644055

Citation

Nobili, C, et al. "Pylephlebitis and Mesenteric Thrombophlebitis in Sigmoid Diverticulitis: Medical Approach, Delayed Surgery." Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, vol. 39, no. 12, 2007, pp. 1088-90.
Nobili C, Uggeri F, Romano F, et al. Pylephlebitis and mesenteric thrombophlebitis in sigmoid diverticulitis: medical approach, delayed surgery. Dig Liver Dis. 2007;39(12):1088-90.
Nobili, C., Uggeri, F., Romano, F., Degrate, L., Caprotti, R., Perego, P., Franciosi, C., & Uggeri, F. (2007). Pylephlebitis and mesenteric thrombophlebitis in sigmoid diverticulitis: medical approach, delayed surgery. Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 39(12), 1088-90.
Nobili C, et al. Pylephlebitis and Mesenteric Thrombophlebitis in Sigmoid Diverticulitis: Medical Approach, Delayed Surgery. Dig Liver Dis. 2007;39(12):1088-90. PubMed PMID: 17644055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pylephlebitis and mesenteric thrombophlebitis in sigmoid diverticulitis: medical approach, delayed surgery. AU - Nobili,C, AU - Uggeri,F, AU - Romano,F, AU - Degrate,L, AU - Caprotti,R, AU - Perego,P, AU - Franciosi,C, AU - Uggeri,F, Y1 - 2007/07/23/ PY - 2007/02/14/received PY - 2007/04/11/revised PY - 2007/04/23/accepted PY - 2007/7/24/pubmed PY - 2008/3/12/medline PY - 2007/7/24/entrez SP - 1088 EP - 90 JF - Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver JO - Dig Liver Dis VL - 39 IS - 12 N2 - A 57-year-old woman presented with fever, vomiting and arthralgia, with a history of rheumatoid arthritis. Laboratory tests showed leucocytes, anaemia and elevation of C-reactive-protein (CRP). Blood cultures were positive for Gram negative bacteria and Streptococcus viridans. Patient underwent abdominal Computed Tomography (CT) scan revealing sigmoid acute diverticulitis with peridiverticular abscesses and thrombophlebitis within the inferior mesenteric and portal veins. She started antibiotic and anticoagulant therapy. After 20 days, a second CT revealed a thrombosis involving the superior mesenteric vein also. After 22 days of therapy the patient was discharged with the resolution of the septic status. Two months after discharge the patient underwent left hemicolectomy for a histopathologically documented diverticulitis with an uneventful postoperative course. This is a description of a rare association of septic thrombosis within the portal, inferior mesenteric and superior mesenteric veins during acute sigmoid diverticulitis with abdominal abscesses. Our therapeutic strategy was a first line medical approach and delayed surgery. SN - 1590-8658 UR - https://www.unboundmedicine.com/medline/citation/17644055/Pylephlebitis_and_mesenteric_thrombophlebitis_in_sigmoid_diverticulitis:_medical_approach_delayed_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1590-8658(07)00174-0 DB - PRIME DP - Unbound Medicine ER -