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Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen.
JBR-BTR. 2012 Jan-Feb; 95(1):13-4.J

Abstract

Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2).We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up to the proximal portal vein, with distal embolus into the left portal vein. Contrast CT and multiplanar reconstructions allowed early diagnosis, and with antibiotic and anticoagulation therapy, no liver abscess developed.

Authors+Show Affiliations

Mailleux P
Dept of Imaging, Clinique St Luc, Bouge, Belgium. p.mailleux@skynet.be
Maldague P
No affiliation info available
Coulier B
No affiliation info available

MeSH

AgedContrast MediaDiverticulitisEarly DiagnosisFemaleHumansImage Processing, Computer-AssistedLiver AbscessPhlebitisRadiographic Image EnhancementRadiography, AbdominalTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22489402

Citation

Mailleux, P, et al. "Pylephlebitis Complicating Peridiverticulitis Without Hepatic Abscess: Early Detection With Contrast-enhanced CT of the Abdomen." JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR), vol. 95, no. 1, 2012, pp. 13-4.
Mailleux P, Maldague P, Coulier B. Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen. JBR-BTR. 2012;95(1):13-4.
Mailleux, P., Maldague, P., & Coulier, B. (2012). Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen. JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR), 95(1), 13-4.
Mailleux P, Maldague P, Coulier B. Pylephlebitis Complicating Peridiverticulitis Without Hepatic Abscess: Early Detection With Contrast-enhanced CT of the Abdomen. JBR-BTR. 2012 Jan-Feb;95(1):13-4. PubMed PMID: 22489402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen. AU - Mailleux,P, AU - Maldague,P, AU - Coulier,B, PY - 2012/4/12/entrez PY - 2012/4/12/pubmed PY - 2012/5/16/medline SP - 13 EP - 4 JF - JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR) JO - JBR-BTR VL - 95 IS - 1 N2 - Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2).We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up to the proximal portal vein, with distal embolus into the left portal vein. Contrast CT and multiplanar reconstructions allowed early diagnosis, and with antibiotic and anticoagulation therapy, no liver abscess developed. SN - 0302-7430 UR - https://www.unboundmedicine.com/medline/citation/22489402/Pylephlebitis_complicating_peridiverticulitis_without_hepatic_abscess:_early_detection_with_contrast_enhanced_CT_of_the_abdomen_ L2 - https://medlineplus.gov/diverticulosisanddiverticulitis.html DB - PRIME DP - Unbound Medicine ER -