Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era.

@article{Plemmons1995SepticTO,
  title={Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era.},
  author={R M Plemmons and David P. Dooley and Robert N Longfield},
  journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
  year={1995},
  volume={21 5},
  pages={1114-20}
}
Pylephlebitis usually occurs secondary to infection in the region drained by the portal venous system. We describe a case of pylephlebitis at our institution and examine 18 other cases culled from the literature since 1979, reviewing diagnostic and management issues. A precipitating focus of infection (most commonly diverticulitis) was identified in 13 (68%) of the cases. Bacteremia (often polymicrobial) was present in 88% of the patients. The most common blood isolate was Bacteroides fragilis… CONTINUE READING

Citations

Publications citing this paper.
Showing 1-10 of 67 extracted citations

A rare case of pylephlebitis after colonic polypectomy

Journal of community hospital internal medicine perspectives • 2017
View 5 Excerpts
Highly Influenced

Pylephlebitis: a rare complication of an intra-abdominal infection

Journal of community hospital internal medicine perspectives • 2013
View 8 Excerpts
Highly Influenced

Idiopathic Suppurative Pylephlebitis: Interventional Radiological Diagnosis and Management

CardioVascular and Interventional Radiology • 2009
View 8 Excerpts
Highly Influenced

Pylephlebitis due to perforated appendicitis in a teenager

European Journal of Pediatrics • 2008
View 9 Excerpts
Highly Influenced

Similar Papers

Loading similar papers…