• Am J Emerg Med · Apr 2023

    Case Reports

    Pylephlebitis: An uncommon complication of sigmoid diverticulitis.

    • Francesco Guerra, Maria Pia Federica Dorma, Giuseppe Giuliani, Giuseppe Caravaglios, and Andrea Coratti.
    • Azienda USL Toscana Sud Est, Grosseto, Italy. Electronic address: fra.guerra.mail@gmail.com.
    • Am J Emerg Med. 2023 Apr 1; 66: 174.e3174.e5174.e3-174.e5.

    AbstractPylephlebitis is defined as a septic thrombophlebitis of the portal vein, usually secondary to infection in regions contiguous to or drained by the portal system. Although extremely uncommon in the modern era, pylephlebitis still carries an appreciable risk of severe morbidity and mortality, if unrecognized and left untreated. Herein we report the case of severe pylephlebitis in a patient with acute sigmoid diverticulitis. Although highly elusive, prompt diagnosis is crucial to ensure appropriate management and limit associated morbidity.Copyright © 2023 Elsevier Inc. All rights reserved.

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