Pylephlebitis complicating peridiverticulitis without hepatic abscess: early detection with contrast-enhanced CT of the abdomen

Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2).We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up...

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Bibliographic Details
Published inJBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR) Vol. 95; no. 1; pp. 13 - 14
Main Authors Mailleux, P, Maldague, P, Coulier, B
Format Journal Article
LanguageEnglish
Published Belgium Ubiquity Press 01.01.2012
Subjects
Abdomen
acute conditions – Thrombophlebitis
Aged
Contrast Media
Diverticulitis - complications
Early Diagnosis
Female
Humans
Image Processing, Computer-Assisted
Liver Abscess - etiology
Phlebitis - diagnostic imaging
Phlebitis - etiology
Radiographic Image Enhancement
Radiography, Abdominal
Tomography, X-Ray Computed
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Summary:Pylephlebitis is a very rare and dangerous complication of inflammatory abdominal processes, mainly appendicitis (1) and diverticulitis (2).We describe a case of peridiverticular inflammation leading to a extensive phlebitis of the adjacent sigmoid vein, extending to the inferior mesenteric vein up to the proximal portal vein, with distal embolus into the left portal vein. Contrast CT and multiplanar reconstructions allowed early diagnosis, and with antibiotic and anticoagulation therapy, no liver abscess developed.
ISSN:0302-7430
2514-8281
DOI:10.5334/jbr-btr.71