Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unrecognized pylephlebitis causing life-threatening septic shock: a case report.

Matthew Wireko1, Philip A Berry, John Brennan

  • 1Medway Maritime Hospital, Windmill Road, Gillingham, Kent, ME4 6TW, United Kingdom.

World Journal of Gastroenterology
|January 11, 2005
PubMed
Summary

A patient experienced severe septic shock from Escherichia coli sepsis. Computed tomography revealed pylephlebitis, a rare portal vein infection and thrombosis, prompting a review of this critical condition.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Profiling and Mapping Quality Improvement and Patient Safety Research Frameworks: Protocol for a Scoping Review to Guide Integration.

HRB open research·2026
Same author

Priorities for medical device regulatory approval: a report from the European Society of Cardiology Cardiovascular Round Table.

European heart journal·2025
Same author

The benefits of nursing professional governance nursing research and evidenced-based practice councils for new graduate nurses.

Dialogues in health·2024
Same author

The Irish national chronic obstructive pulmonary disease quality improvement collaborative: an adaptive learning collaborative.

BMJ open quality·2024
Same author

Assessing care quality in general practice: a qualitative study of GPs in Ireland.

BJGP open·2023
Same author

Democratising civility: Commentary on 'McCullough LB <i>et al</i>: Professional virtue of civility and the responsibilities of medical educators and academic leaders'.

Journal of medical ethics·2023

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Septic shock is a life-threatening condition requiring prompt diagnosis and treatment.
  • Escherichia coli is a common cause of sepsis, but its origin can be challenging to identify.
  • Pylephlebitis, a serious complication of intra-abdominal infection, involves the portal venous system.

Observation:

  • A patient presented with profound septic shock attributed to Escherichia coli sepsis of unknown origin.
  • Computed tomography (CT) imaging was crucial in diagnosing pylephlebitis after initial patient stabilization.
  • The CT findings indicated infection and thrombosis within the portal vein.

Findings:

  • The case highlights the diagnostic utility of CT in identifying pylephlebitis.

Related Experiment Videos

  • Escherichia coli sepsis can lead to severe complications like portal vein thrombosis.
  • Successful management hinges on early recognition and appropriate antimicrobial and anticoagulant therapy.

    • Implications:

    • This case underscores the importance of considering pylephlebitis in patients with unexplained septic shock and abdominal symptoms.
    • Advanced imaging techniques like CT are vital for diagnosing rare but serious vascular complications of sepsis.
    • Understanding the etiology and management of pylephlebitis is crucial for improving patient outcomes in critical care settings.