Acute pylephlebitis secondary to perforated sigmoid diverticulitis: A case report
| Autor: | Tord Hogsand, Stefan Sleiman, Luqman Wali, Ali Shah, Sasha Humphries |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Pylephlebitis Portal venous system R895-920 Case Report 030218 nuclear medicine & medical imaging Sepsis 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine 0302 clinical medicine medicine Radiology Nuclear Medicine and imaging Thrombus Diverticulitis medicine.diagnostic_test business.industry medicine.disease Venous thrombosis Radiology medicine.symptom Portal vein Thrombus Liver function tests business Infection 030217 neurology & neurosurgery |
| Zdroj: | Radiology Case Reports, Vol 16, Iss 6, Pp 1504-1507 (2021) Radiology Case Reports |
| ISSN: | 1930-0433 |
| Popis: | Pylephlebitis is defined as the development of portal venous thrombosis secondary to intra–abdominal infection or inflammation. We present the case of a 69-year-old male with pylephlebitis who attended the Emergency Department with nonspecific abdominal pain, rigors and deranged liver function tests. After an initial negative ultrasound study, computed tomography (CT) scanning demonstrated perforated diverticulitis with an associated thrombus within the portal venous system. Prompt imaging coupled with a high index of clinical suspicion helps in identifying this condition early, significantly reducing morbidity and mortality rates. This case emphasizes the importance of careful evaluation of the portal venous system in cases of intra–abdominal sepsis to exclude this rare, and sometimes fatal, condition. |
| Databáze: | OpenAIRE |
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