Pylephlebitis, or septic thrombophlebitis of the portal vein, is an infrequent but life-threatening complication of abdominal septic events. The authors report the occurrence of pylephlebitis and multiple liver abscesses induced by a neglected intra-gastric migration of an adjustable silicone gastric band. The patient was successfully treated by broad-spectrum antibiotics and total gastrectomy with Roux-en-Y esophago-jejunostomy. Postoperative recovery was marked by acute liver failure that was managed conservatively. The patient is alive and well at 1-year follow-up. This case emphasizes the interest in early removal of the band when intra-gastric migration is diagnosed.
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De Roover, A., Detry, O., Coimbra, C. et al. Pylephlebitis of the Portal Vein Complicating Intragastric Migration of an Adjustable Gastric Band. OBES SURG 16, 369–371 (2006). https://doi.org/10.1381/096089206776116363
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DOI: https://doi.org/10.1381/096089206776116363