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A case of pylephlebitis secondary to cecal diverticulitis.
J Emerg Med. 2012 Apr; 42(4):e81-5.JE

Abstract

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.

CASE REPORT

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.

CONCLUSION

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.

Authors+Show Affiliations

Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19443163

Citation

Lee, Byung Kook, and Hyun Ho Ryu. "A Case of Pylephlebitis Secondary to Cecal Diverticulitis." The Journal of Emergency Medicine, vol. 42, no. 4, 2012, pp. e81-5.
Lee BK, Ryu HH. A case of pylephlebitis secondary to cecal diverticulitis. J Emerg Med. 2012;42(4):e81-5.
Lee, B. K., & Ryu, H. H. (2012). A case of pylephlebitis secondary to cecal diverticulitis. The Journal of Emergency Medicine, 42(4), e81-5. https://doi.org/10.1016/j.jemermed.2009.02.039
Lee BK, Ryu HH. A Case of Pylephlebitis Secondary to Cecal Diverticulitis. J Emerg Med. 2012;42(4):e81-5. PubMed PMID: 19443163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of pylephlebitis secondary to cecal diverticulitis. AU - Lee,Byung Kook, AU - Ryu,Hyun Ho, Y1 - 2009/05/13/ PY - 2008/09/08/received PY - 2008/12/09/revised PY - 2009/02/06/accepted PY - 2009/5/16/entrez PY - 2009/5/16/pubmed PY - 2012/6/29/medline SP - e81 EP - 5 JF - The Journal of emergency medicine JO - J Emerg Med VL - 42 IS - 4 N2 - 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. CASE REPORT: 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. CONCLUSION: 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. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/19443163/A_case_of_pylephlebitis_secondary_to_cecal_diverticulitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(09)00268-6 DB - PRIME DP - Unbound Medicine ER -