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Pylephlebitis: case report and literature review.
Lizeth Flores-Anaya1, Cinthia León-Lozada2, William Torres-Damas3
1Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Address: Avenida Las Torres Lte. 24 - Lurigancho Huachipa, Lima 15461, Perú.
Medwave
|October 21, 2015
Summary
A 50-year-old man with fever and abdominal pain was diagnosed with pylephlebitis, a rare infection of the portal vein. Prompt antibiotic and anticoagulant treatment led to a favorable outcome, highlighting the importance of early diagnosis and intervention.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Radiology
Background:
- Pylephlebitis is a rare and potentially life-threatening condition involving the infection of the portal venous system.
- Prompt diagnosis and treatment are crucial for patient survival and favorable outcomes.
Observation:
- A 50-year-old male presented with fever, abdominal pain, diarrhea, and jaundice.
- Initial diagnosis suggested an intestinal infection.
- Abdominal computerized tomography scan confirmed pylephlebitis.
Findings:
- The patient was diagnosed with pylephlebitis, a serious intra-abdominal infection.
- Treatment involved immediate administration of antibiotics and anticoagulant therapy.
Implications:
- This case underscores the importance of considering pylephlebitis in patients presenting with symptoms suggestive of intra-abdominal infection and jaundice.
- Early recognition and aggressive management, including antibiotics and anticoagulation, are key to successful treatment and improved prognosis in pylephlebitis.
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