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[Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis].
Schweiz Med Wochenschr. 1998 Sep 05; 128(36):1339-44.SM

Abstract

Pylephlebitis, septic thrombosis of the portal vein and its branches, is an infrequent complication of intra-abdominal inflammatory processes which may lead to thrombosis of the portal vein or to liver abscesses. Air in the protal venous system usually predicts a fatal outcome. The survival rate calculated in all reported cases is less than 25%. It is important to detect portal venous gas early. In detection of portal venous gas, ultrasound and computed tomography are more sensitive than plain radiographs. Pylephlebitis used to be a dreaded complication of appendicitis, but the incidence of this disease has greatly declined since the development of antibiotics and modern surgical techniques. We present two cases of pylephlebitis associated with gas in the portal vein as a result of left colonic diverticulitis treated by bowel resection. In spite of the occurrence of portal venous gas, the outcome may be favourable if this disease undergoes prompt surgical treatment.

Authors+Show Affiliations

Chirurgische Klinik, Spital Limmattal, Schlieren.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

9784677

Citation

Häner, C, et al. "[Septic Pylephlebitis With Detection of Gas in the Portal Vein: a Rare Complication of Sigmoid Diverticulitis]." Schweizerische Medizinische Wochenschrift, vol. 128, no. 36, 1998, pp. 1339-44.
Häner C, Inderbitzi R, Badulescu M, et al. [Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis]. Schweiz Med Wochenschr. 1998;128(36):1339-44.
Häner, C., Inderbitzi, R., Badulescu, M., & Teuscher, J. (1998). [Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis]. Schweizerische Medizinische Wochenschrift, 128(36), 1339-44.
Häner C, et al. [Septic Pylephlebitis With Detection of Gas in the Portal Vein: a Rare Complication of Sigmoid Diverticulitis]. Schweiz Med Wochenschr. 1998 Sep 5;128(36):1339-44. PubMed PMID: 9784677.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis]. AU - Häner,C, AU - Inderbitzi,R, AU - Badulescu,M, AU - Teuscher,J, PY - 1998/10/24/pubmed PY - 1998/10/24/medline PY - 1998/10/24/entrez SP - 1339 EP - 44 JF - Schweizerische medizinische Wochenschrift JO - Schweiz Med Wochenschr VL - 128 IS - 36 N2 - Pylephlebitis, septic thrombosis of the portal vein and its branches, is an infrequent complication of intra-abdominal inflammatory processes which may lead to thrombosis of the portal vein or to liver abscesses. Air in the protal venous system usually predicts a fatal outcome. The survival rate calculated in all reported cases is less than 25%. It is important to detect portal venous gas early. In detection of portal venous gas, ultrasound and computed tomography are more sensitive than plain radiographs. Pylephlebitis used to be a dreaded complication of appendicitis, but the incidence of this disease has greatly declined since the development of antibiotics and modern surgical techniques. We present two cases of pylephlebitis associated with gas in the portal vein as a result of left colonic diverticulitis treated by bowel resection. In spite of the occurrence of portal venous gas, the outcome may be favourable if this disease undergoes prompt surgical treatment. SN - 0036-7672 UR - https://www.unboundmedicine.com/medline/citation/9784677/[Septic_pylephlebitis_with_detection_of_gas_in_the_portal_vein:_a_rare_complication_of_sigmoid_diverticulitis]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -