Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen

Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2). We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up...

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Main Authors: P. Mailleux1, Ph. Maldague², B. Coulier1
Format: Article
Language:English
Published: Ubiquity Press 2012-01-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/71
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author P. Mailleux1,
Ph. Maldague²
B. Coulier1
author_facet P. Mailleux1,
Ph. Maldague²
B. Coulier1
author_sort P. Mailleux1,
collection DOAJ
description Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2). We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up to the proximal portal vein, with distal embolus into the left portal vein. Contrast CT and multiplanar reconstructions allowed early diagnosis, and with antibiotic and anticoagulation therapy, no liver abscess developed.
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spelling doaj.art-03aefa110f45499ab05610a2d27edf492022-12-21T19:19:19ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812012-01-01951131410.5334/jbr-btr.7171Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomenP. Mailleux1,0Ph. Maldague²1B. Coulier12Dept of Imaging, Clinique St Luc, Bouge, Belgium.Dept of Gastro-enterology, Clinique St Luc, Bouge, Belgium.Dept of Imaging, Clinique St Luc, Bouge, Belgium.Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2). We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up to the proximal portal vein, with distal embolus into the left portal vein. Contrast CT and multiplanar reconstructions allowed early diagnosis, and with antibiotic and anticoagulation therapy, no liver abscess developed.https://www.jbsr.be/articles/71Abdomenacute conditions – Thrombophlebitis.
spellingShingle P. Mailleux1,
Ph. Maldague²
B. Coulier1
Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
Journal of the Belgian Society of Radiology
Abdomen
acute conditions – Thrombophlebitis.
title Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
title_full Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
title_fullStr Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
title_full_unstemmed Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
title_short Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen
title_sort pylephlebitis complicating peridiverticulitis without hepatic abscess early detection with contrast enhanced ct of the abdomen
topic Abdomen
acute conditions – Thrombophlebitis.
url https://www.jbsr.be/articles/71
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