Pylephlebitis secondary to an outbreak of inflammatory bowel disease

Authors

  • Carlos Ruiz-Lucena Internal Medicine Service, Hospital de la Serranía, Ronda, Málaga, Spain https://orcid.org/0009-0008-4455-7587
  • Guillermo Ropero-Luis Internal Medicine Service, Hospital de la Serranía, Ronda, Málaga, Spain
  • Guadalupe Jarava-Rol Internal Medicine Service, Hospital de la Serranía, Ronda, Málaga, Spain
  • Francisca Montserrat Godoy-Guerrero Internal Medicine Service, Hospital de la Serranía, Ronda, Málaga, Spain
  • María de los Ángeles González-Benítez Internal Medicine Service, Hospital de la Serranía, Ronda, Málaga, Spain

DOI:

https://doi.org/10.32818/reccmi.a8n3a7

Keywords:

pylephlebitis, ulcerative colitis, splenic-portal venous thrombosis

Abstract

Pylephlebitis or pylethrombophlebitis is a clinical condition defined as the presence of septic thrombophlebitis in the duct-portal vein or intrahepatic vessels which may extend through nearby areas. Etiological diagnosis is crucial since it may modify its therapeutic attitude and is related to intra-abdominal infections. We present the case of a patient with ulcerative colitis who was admitted to the hospital due to an inflammatory bowel disease flare. An abdominal CT-scan showed thrombosis of the splenic-portal system and mesenteric veins which confirmed the diagnosis of pylephlebitis. The patient developed a series of infectious and internal medium complications which led to his death.

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References

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Published

2023-12-31

How to Cite

1.
Ruiz-Lucena C, Ropero-Luis G, Jarava-Rol G, Godoy-Guerrero FM, González-Benítez M de los Ángeles. Pylephlebitis secondary to an outbreak of inflammatory bowel disease. Rev Esp Casos Clin Med Intern [Internet]. 2023 Dec. 31 [cited 2024 Dec. 26];8(3):129-31. Available from: https://www.reccmi.com/RECCMI/article/view/850

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