Abstract
Pylephlebitis is defined as a septic thrombophlebitis of the portal vein system that may appear as a complication of an intraabdominal or pelvic infection. It is an uncommon condition with non-specific symptoms and high mortality, requiring high level of suspicion and prompt diagnosis and treatment. We present the case of a 65-year-old female who presented with a pylephlebitis of diverticular origin, although there were no signs of diverticulitis. Prompt treatment with intravenous antibiotics and anticoagulation was provided, presenting a good evolution. Broad spectrum antibiotics covering gram-negatives and anaerobes should be started promptly, and although there is controversy regarding the role of anticoagulation, it seems safe and may improve outcomes.
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CJGS and MJCL wrote the first draft of the manuscript. DAS and FPC contributed to conception and design of the study. All authors contributed to data analysis and interpretation, as well as manuscript revision.
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García-Sánchez, C.J., Cuevas-López, M.J., Aparicio-Sánchez, D. et al. Inferior Mesenteric Vein Pylephlebitis as a Rare Complication of a Previous Diverticulitis: A Case Report. SN Compr. Clin. Med. 6, 59 (2024). https://doi.org/10.1007/s42399-024-01688-0
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DOI: https://doi.org/10.1007/s42399-024-01688-0