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KMID : 0614620160670060327
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Korean Journal of Gastroenterology
2016 Volume.67 No. 6 p.327 ~ p.331
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A Case of Pylephlebitis with Pseudomonas aeruginosa Sepsis and Liver Abscess Secondary to Diverticulitis
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Mun Yoon-Gwon
Son Seong-Wan
Kim Min-Ah
Kim In-Soo
Kim Yong-Hee
Jung Il-Soon
Ko Byung-Seong
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Abstract
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Pylephlebitis, or suppurative thrombophlebitis of the portal venous system, is a rare condition occurring secondary to abdominal infections such as diverticulitis. Pylephlebitis can be diagnosed via ultrasonography or CT scan, and is characterized by the presence of a thrombus in the portal vein and bacteremia. However, the diagnosis may be delayed due to the vague nature of the clinical symptoms, causing morbidity and mortality due to pylephlebitis to remain high. Early diagnosis and immediate antibiotic therapy are important for favorable prognosis. Therefore, pylephlebitis should be considered in the differential diagnosis for cases of nonspecific abdominal pain and fever. We report a case of pylephlebitis secondary to diverticulitis, associated with Pseudomonas aeruginosa sepsis. Such cases have not been widely reported.
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KEYWORD
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Thrombophlebitis, Diverticulitis, Sepsis, Liver abscess
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