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Chronic Salmonella Infection Induced Intestinal Fibrosis

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Pylephlebitis secondary to inflammatory colitis: A case report.

Ibrahima Faye¹, Aicha Ndichout¹, Abdourahmane Ndong²

¹Radiology Department, Regional Hospital of Saint Louis, Saint Louis, Senegal.

Radiology Case Reports

|November 7, 2022

Summary

Pylephlebitis, a portal vein clot from infection, often presents with vague abdominal symptoms. This case highlights inflammatory colitis as a cause in a young woman with acute pain, vomiting, and fever.

Keywords:

Abdominal CT scan Inflammatory colitis Pylephlebitis

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Area of Science:

Gastroenterology
Vascular Medicine
Infectious Diseases

Background:

Pylephlebitis is defined as thrombotic occlusion of the portal vein or its branches, typically secondary to infection.
The condition often presents with atypical or non-specific abdominal symptoms, delaying diagnosis.

Observation:

A 35-year-old female presented with acute abdominal pain, vomiting, and fever.
Computed tomography (CT) scan revealed findings consistent with pylephlebitis secondary to inflammatory colitis.

Findings:

The case demonstrates a direct link between inflammatory colitis and the development of pylephlebitis.
CT imaging was crucial in identifying the portal vein thrombosis in the context of intra-abdominal infection.

Implications:

This case underscores the importance of considering pylephlebitis in patients with unexplained abdominal symptoms and fever, especially when inflammatory bowel conditions are present.
Early recognition and diagnosis of pylephlebitis are critical for effective management and to prevent complications.
Further research into the specific mechanisms linking inflammatory colitis to portal vein thrombosis may improve patient outcomes.