Southern medical journal
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We have reported the cases of two patients who had acute pylephlebitis associated with portal vein thrombosis and septic hepatic emboli as a result of right colonic diverticulitis. Although rare, pylephlebitis is a treatable but often lethal complication of intra-abdominal sepsis. Several bacterial pathogens, especially Escherichia coli are associated with pylephlebitis. ⋯ Surgery may not be required. Our two patients received ampicillin--the best first-line drug--until specific antibiotic therapy could be given. Early administration of a broad spectrum antibiotic is essential.
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Southern medical journal · May 1993
Case ReportsSpontaneous migration of an intracranial bullet into the cervical canal.
We have reported a case of intracranial to intraspinal migration of a retained bullet fragment over a course of approximately 4 years. The patient remained asymptomatic. The bullet was removed via a posterior cervical laminectomy. Migration of bullet fragments, though rare, should be included as one of the delayed complications of gunshot wound to the head.