Diverticular Pylephlebitis and Polymicrobial Septicemia

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Diverticular Pylephlebitis and Polymicrobial Septicemia

Diverticulitis primarily affects the sigmoid colon and is often complicated by intra-abdominal abscesses and fistulas. Rarely, however, mesenteric venous thrombosis has been known to occur. Optimal management is still unclear. We report the first case of polymicrobial sepsis resulting from diverticular pylephlebitis, managed successfully with bowel rest, antibiotics, and anticoagulation.

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Pylephlebitis usually occurs secondary to infection in the region drained by the portal venous system. A most common antesecent focus of infection is diverticulitis and the most common blood isolate is E. coli (54%), followed by Proteus mirabilis (23%). Overall mortality is 32% and most of the patients who had died had severe sepsis prior to the initiation of antibiotic therapy. We describe a c...

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Morphologic Basis for Developing Diverticular Disease, Diverticulitis, and Diverticular Bleeding

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ژورنال

عنوان ژورنال: Case Reports in Infectious Diseases

سال: 2017

ISSN: 2090-6625,2090-6633

DOI: 10.1155/2017/6819474