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 -