2019, Number 2
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
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ABSTRACTPylephlebitis 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.