Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male

Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain w...

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Main Authors: Mohamed Abdallah, Ahmad Gohar, Smitha Naryana Gowda, Hafez M. Abdullah, Ali Al-hajjaj
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2020/3918080
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author Mohamed Abdallah
Ahmad Gohar
Smitha Naryana Gowda
Hafez M. Abdullah
Ali Al-hajjaj
author_facet Mohamed Abdallah
Ahmad Gohar
Smitha Naryana Gowda
Hafez M. Abdullah
Ali Al-hajjaj
author_sort Mohamed Abdallah
collection DOAJ
description Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. We present a case of a 37-year-old Hispanic male who presented with acute abdominal pain and loose stools. He was initially treated for acute gastroenteritis but his clinical condition deteriorated. He was eventually diagnosed with pylephlebitis with associated inferior mesenteric vein thrombosis. He was successfully treated with IV antibiotics and warfarin. Pylephlebitis should not be overlooked as a differential in an appropriate clinic setting as it has a high mortality rate.
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institution Kabale University
issn 2090-6528
2090-6536
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publishDate 2020-01-01
publisher Wiley
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-ae5ba81613284e65915048fe23ba89f92025-02-03T05:52:44ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/39180803918080Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old MaleMohamed Abdallah0Ahmad Gohar1Smitha Naryana Gowda2Hafez M. Abdullah3Ali Al-hajjaj4Internal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USAInternal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USAInternal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USAInternal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USAInternal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USAPylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. We present a case of a 37-year-old Hispanic male who presented with acute abdominal pain and loose stools. He was initially treated for acute gastroenteritis but his clinical condition deteriorated. He was eventually diagnosed with pylephlebitis with associated inferior mesenteric vein thrombosis. He was successfully treated with IV antibiotics and warfarin. Pylephlebitis should not be overlooked as a differential in an appropriate clinic setting as it has a high mortality rate.http://dx.doi.org/10.1155/2020/3918080
spellingShingle Mohamed Abdallah
Ahmad Gohar
Smitha Naryana Gowda
Hafez M. Abdullah
Ali Al-hajjaj
Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
Case Reports in Gastrointestinal Medicine
title Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
title_full Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
title_fullStr Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
title_full_unstemmed Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
title_short Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male
title_sort pylephlebitis associated with inferior mesenteric vein thrombosis treated successfully with anticoagulation and antibiotics in a 37 year old male
url http://dx.doi.org/10.1155/2020/3918080
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