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Updated: Jul 2, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
[Pylephlebitis in the course of diverticulitis]
S Bekkhoucha1, I Boulay-Colleta, L Turner
1Service de chirurgie digestive et viscérale, fondation hôpital St Joseph, Paris. sbekkhoucha@hotmail.fr
Abstract:
Pylephlebitis or septic portal thrombophlebitis is a rare but serious condition which may occur following intra-abdominal sepsis from any source. Sigmoid diverticulitis is one of the most common sources. Modern imaging modalities, particularly CT, have increased the recognition of this condition. Standard treatment consists of anticoagulation plus antibiotic therapy to cover anaerobic and gram negative organisms. The duration of anticoagulation therapy remains controversial. Sigmoid colectomy may be required in cases of perforated diverticulitis or failure of medical therapy.
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