• J Emerg Med · Apr 2012

    Case Reports

    A case of pylephlebitis secondary to cecal diverticulitis.

    • Byung Kook Lee and Hyun Ho Ryu.
    • Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
    • J Emerg Med. 2012 Apr 1;42(4):e81-5.

    BackgroundPylephlebitis, 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 ReportA 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.ConclusionEarly 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.Copyright © 2012 Elsevier Inc. All rights reserved.

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