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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Pylephlebitis as a Rare Complication of Ulcerative Colitis: A Case Report.

Leonard Hamera1, Sunoj Abraham2, Jeffrey Jordan3

  • 1Internal Medicine, Citrus Memorial Hospital, Inverness, USA.

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Pylephlebitis, a serious condition, can occur with ulcerative colitis. This case highlights a patient with ulcerative colitis who recovered fully from pylephlebitis after prompt antibiotic and anticoagulant treatment.

Keywords:
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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Infectious Diseases

Background:

  • Pylephlebitis is a rare but life-threatening complication of abdominal conditions.
  • Ulcerative colitis is an inflammatory bowel disease with various potential complications.

Observation:

  • A 51-year-old male with ulcerative colitis, diabetes, and COPD presented with sepsis symptoms.
  • Imaging revealed a portal vein thrombus, indicative of pylephlebitis.
  • The patient had recently been treated for a colitis flare.

Findings:

  • The patient was diagnosed with pylephlebitis secondary to ulcerative colitis.
  • Treatment included antibiotics and anticoagulation.
  • The patient achieved a full recovery.

Implications:

  • This case underscores the importance of considering pylephlebitis in septic patients with ulcerative colitis.
  • Maintaining a broad differential diagnosis is crucial for managing sepsis.
  • Prompt treatment of pylephlebitis can lead to favorable outcomes.