Portal septic thrombophlebitis secondary to diverticulitis
DOI:
https://doi.org/10.21615/cesmedicina.5935Keywords:
Cholangitis, Diverticulitis, Portal vein, Portal septic thrombosisAbstract
Septic thrombosis of the portal vein is a rare complication of diverticulitis, appendicitis and other intra-abdominal infections; it is associated with high rates of complications, such as mesenteric ischemia, liver abscess, portal hypertension or death. We present the case of a 67-year-old patient who consulted for fever, abdominal pain and jaundice, and in whom Escherichia coli and
Streptococcus dysgalactiae bacteremia was documented; images showed hepatic portal thrombosis
secondary to acute diverticular disease, which configures a diagnosis of septic pylephlebitis. The patient received targeted antibiotic therapy without anticoagulation, with adequate clinical response. The diagnosis, etiology, and treatment of portal septic thrombosis are discussed.
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