• J Radiol Case Rep · Feb 2014

    Case Reports

    Pylephlebitis of a variant mesenteric vein complicating sigmoid diverticulitis.

    • Anna L Falkowski, Gieri Cathomas, Andreas Zerz, Helmut Rasch, and Philip E Tarr.
    • Department of Radiology and Nuclear Medicine, Kantonsspital Baselland, 4101 Bruderholz, Switzerland.
    • J Radiol Case Rep. 2014 Feb 1; 8 (2): 37-45.

    AbstractPylephlebitis--suppurative thrombophlebitis of the portal and/or mesenteric veins--is a rare complication of abdominal infections, especially diverticulitis. It can lead to severe complications such as hepatic abscess, sepsis, peritonitis, bowel ischemia, etc., which increase the mortality rate. Here we present a case of suppurative thrombophlebitis of the inferior mesenteric vein, as a complication of sigmoid diverticulitis. The epidemiology, clinical and radiological features as well as treatment strategies are discussed. We also review the anatomy of the mesenteric vein given its anatomic variation in the present case and how this anatomic knowledge might influence the operative approach should surgery be necessary.

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