Portal-Mesenteric Suppurative Emphysematous Pylephlebitis: A Case Report

نویسندگان

چکیده

Suppurative thrombophlebitis of the portal-mesenteric venous system occurring in setting abdominal inflammatory and infectious processes is a serious condition that can lead to septic shock, bowel ischemia, hepatic abscess, death if unrecognized. Diagnosis often delayed because symptoms are aspecific pain at primary site infection may be mild. Contrast-enhanced CT scans diagnose both portal thrombosis site. Treatment include early resective surgery case appendicitis or diverticulitis, association with large-spectrum antibiotics possibly anticoagulation. A characteristic suppurative thrombophlebitis, whether splanchnic systemic, latency before effects antibiotic therapy seen. Anticoagulation administered avoid extension superior mesenteric vein. We presented critically ill 53-year-old man chronic colonic diverticulitis complicated by emphysematous only slow response antibiotics.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Bilateral Emphysematous Pyelonephritis with Hepatic Portal Venous Gas: Case Report.

Emphysematous pyelonephritis is a rare life-threatening condition caused by a severe acute necrotising infection of the renal parenchyma and its perinephric tissues, and it is commonly seen in diabetic patients. There is a rare association between emphysematous pyelonephritis and hepatic portal venous gas. Hepatic portal venous gas is an uncommon radiological finding, which implies a significan...

متن کامل

Diverticulitis complicated by pylephlebitis: a case report

INTRODUCTION Pylephlebitis is defined as septic thrombophlebitis of the portal venous system, usually secondary to infection or inflammation in the abdomen. In the current report, we present a case of pylephlebitis that complicated the course of a very common pathology, diverticulitis. CASE PRESENTATION A 62-year-old Caucasian woman with a history of sigmoid diverticulitis presented to our fa...

متن کامل

Peritonitis and pneumoperitoneum due to emphysematous cholecystitis: a case report

Background: Emphysematous cholecystitis is a rare variant of acute cholecystitis with high mortality and morbidity rate. Emphysematous cholecystitis most often occurs in older men and Emphysematous cholecystitis often occurs in patients with chronic diseases such as diabetes and vascular disease. The combination of emphysematous cholecystitis and pneumoperitoneum is even rarer. In this study, w...

متن کامل

Pylephlebitis: case report and literature review.

We present the case of a 50-year-old man who comes to the emergency department of Dos de Mayo Hospital, Lima, Peru, with fever, abdominal pain, diarrhea and jaundice. An intestinal infection arises as initial diagnosis. He is referred to the area of Internal Medicine where various laboratory tests and imaging studies were conducted, including an abdominal computerized tomography scan. The scan ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Cureus

سال: 2023

ISSN: ['2168-8184']

DOI: https://doi.org/10.7759/cureus.41693