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Intestinal Research 2009;7(2):105-109.
Published online December 30, 2009.
A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein
Hae Sun Jung, Ki-Nam Shim, Ji Min Jung, Min-Jung Kang, Youn Ju Na, Sung Ae Jung, Kwon Yoo
Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea
하부장간막정맥과 문맥의 문맥염 1예
정해선, 심기남, 정지민, 강민정, 나윤주, 정성애, 유권
이화여자대학교 의학전문대학원 내과학교실, 의과학연구소
Abstract
Pylephlebitis is defined as septic thrombophlebitis of the portal vein or one of its tributaries. Pylephlebitis is an uncommon and often fatal complication of intra-abdominal infections, such as diverticulitis and appendicitis. The most common bacteria isolated from patients with pylephlebitis are Escherichia coli and Bacteroides fragilis. The overall mortality rate is 32%. We describe a case of septic thrombophlebitis of the main portal vein and inferior mesenteric vein successfully treated with broad-spectrum antibiotics and anticoagulants. The early diagnosis and treatment with the timely administration of antibiotics is most important for pylephlebitis. (Intest Res 2009;7:105-109)
Key Words: Pylephlebitis, Cavernous Sinus Thrombosis, Inferior Mesenteric Vein, Portal Vein
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