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KMID : 0988920090070020105
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Intestinal Research
2009 Volume.7 No. 2 p.105 ~ p.109
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A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein
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Jung Hae-Sun
Jung Ji-Min
Shim Ki-Nam
Na Youn-Ju
Jung Sung-Ae
Yoo Kwon
Kang Min-Jung
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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.
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KEYWORD
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Pylephlebitis, Cavernous Sinus Thrombosis, Inferior Mesenteric Vein, Portal Vein
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