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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Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-ae5ba81613284e65915048fe23ba89f9 |
institution | Kabale University |
issn | 2090-6528 2090-6536 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
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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