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Colegio de Medicina Interna de México.
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2017, Number 6

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Med Int Mex 2017; 33 (6)

Pylephlebitis as a cause of fever

Casuso-Sáenz E, Valiente-Millán MT, Jaso-Tejera R, Campo-Ruíz A, Herreras-Martínez R, Calvo-Mijares N
Full text How to cite this article

Language: Spanish
References: 6
Page: 818-821
PDF size: 361.88 Kb.


Key words:

pylephlebitis, portal vein thrombosis, appendicitis, mesenteric thrombosis.

ABSTRACT

Pylephlebitis or suppurative thrombophlebitis of the portal mesenteric venous system is a rare but deadly complication of abdominal infections drained by the portal venous system. Usually, it is seen in the setting of appendicitis and diverticulitis. The incidence have been increased in the last years because of the use of modern diagnosis imaging such as ultrasonography and computed tomography scans. The more sensitive imaging techniques and the availability of antibiotics have improve the prognosis, although there is not consensus about the empiric antibiotic regimens and the anticoagulation therapy is a controversial topic.


REFERENCES

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  2. Abraham MN, Mathiason MA, Kallies KJ, Cogbill TH, Shapiro SB.. Portomesenteric venous thrombosis: a community hospital experience with 103 consecutive patients. Am J Surg 2011; 202(6): 759-764.

  3. Acosta S, Alhadad A, Svensson P, Ekberg O. Epidemiology, risk and prognostic factors of mesenteric venous thrombosis. Br J Surg 2008;95(10):1245-51.

  4. Granero Castro P, Raposo Rodríguez L, Moreno Gijón M, Prieto Fernández A, Granero Trancón J, et al. Pylephlebitis as a complication of acute appendicitis. Rev Esp Enferm Dig. 2010; 102:217-22.

  5. Álvarez Uslar R, González RL, Gutiérrez GJ. Tromboflebitis séptica de la vena porta. Rev Chil Cir 2002;54:676-80.

  6. Kanellopoulou T, Alexopoulou A, Theodossiades G, Koskinas J, Archimandritis AJ. Pylephlebitis: an overview of non-cirrhotic cases and factors related to outcome. Scand J Infect Dis 2010;42(11-12):804-11.




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C?MO CITAR (Vancouver)

Med Int Mex. 2017;33