| A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein |
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Hae Sun Jung, Ki-Nam Shim, Ji Min Jung, Min-Jung Kang, Youn Ju Na, Sung Ae Jung, Kwon Yoo |
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Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea
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| 하부장간막정맥과 문맥의 문맥염 1예 |
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정해선, 심기남, 정지민, 강민정, 나윤주, 정성애, 유권 |
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이화여자대학교 의학전문대학원 내과학교실, 의과학연구소 |
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| Abstract |
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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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