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ISSN 1405-0099 (Print)

2019, Number 2

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Cir Gen 2019; 41 (2)

Pylephlebitis as complication of late diagnosis of cholangitis: case report and review of the literature

Ángeles-Gaspar D, Telich-Tarriba JE, Leyva-Sotelo L, Guevara-Valmaña OI, Rendon-Medina MA

Language: Spanish
References: 13
Page: 115-119
PDF size: 266.66 Kb.


ABSTRACT

Pylephlebitis is the septic thrombosis of the portal vein or its tributary branches, which occurs because of an intraabdominal or pelvic infectious focus. The clinical manifestations can be very nonspecific, from asymptomatic to septic shock and liver failure. The knowledge of this pathology allows the diagnosis that is based on a high clinical suspicion supported by imaging tests, tomography is the study of choice. It is an infrequent complication, but with a high mortality rate. We present the case of a 37-year-old patient with pylephlebitis secondary to choledocholithiasis.


REFERENCES

  1. Chang Y, Min S, Joo S, Lee S. Septic thrombophlebitis of the porto-mesenteric veins as a complication of acute appendicitis. World J Gastroenterol. 2008; 14: 4580-4582.

  2. Balthazar EJ, Gollapudi P. Septic Thrombophlebitis of the mesenteric and portal veins: CT imaging. J C Assist Tomogr. 2000; 24: 755-760.

  3. Choudhry A, Baghdadi Y, Amr M, Alzghari M, Jenkins D, Zielinski M. Pylephlebitis: a review of 95 cases. J Gastrointest Surg. 2015; 20: 656-661.

  4. Arteche E, Ostiz S, Miranda L, Caballero P, Jiménez LO. Tromboflebitis séptica de la vena porta (pileflebitis): diagnóstico y manejo a propósito de tres casos. Anales Sis San Navarra. 2005; 28: 417-420.

  5. 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: 804-811.

  6. Belhassen-García M, Gomez-Munuera M, Pardo-Lledias J, Velasco-Tirado V, Perez-Persona E, Galindo-Perez I, et al. Pylephlebitis: Incidence and prognosis in a tertiary hospital. Enferm Infecc Microbiol Clin. 2014; 32: 350-354.

  7. Tsao YT, Lin SH, Cheng CJ, Chang FY. Pylephlebitis associated with acute infected choledocholithiasis. Am J Med Sci. 2006; 332: 85-87.

  8. Pérez S, Nofuentes C, García A, Luri P. Pileflebitis: una extraña pero posible complicación de las infecciones intraabdominales. Cirugía y Cirujanos. 2015; 85: 501-505.

  9. Chang T, Tang L, Keller K, Harrison M, Farmer D, Albanese C. Pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses owing to perforated appendicitis. J Pediatr Surg. 2001; 36: E19.

  10. Pradka SP, Trankiem CT, Ricotta JJ. Pylephlebitis and acute mesenteric ischemia in a young man with inherited thrombophilia and suspected foodborne illness. J Vasc Surg. 2012; 55: 1769-1772.

  11. Plemmons R, Dooley D, Longfield R. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis. 1995; 21: 1114-1120.

  12. García GM, Luque MR, Rodríguez SS. Trombosis portal asociada a infección de la vía biliar. Grastroenterol Hepatol. 2012; 35: 644-648.

  13. Grubnik VV, Tkachenko AI, Ilyashenko VV, Vorotyntseva KO. Laparoscopic common bile duct exploration versus open surgery: comparative prospective randomized trial. Surg Endosc. 2012; 26: 2165-2171.




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