[Septic pylephlebitis with detection of gas in the portal vein: a rare complication of sigmoid diverticulitis]
C Häner, R Inderbitzi, Michael Badulescu & J Teuscher
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abstract
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Pylephlebitis, septic thrombosis of the portal vein and its
branches, is an infrequent complication of intra-abdominal
inflammatory processes which may lead to thrombosis of the portal
vein or to liver abscesses. Air in the protal venous system usually
predicts a fatal outcome. The survival rate calculated in all
reported cases is less than 25%. It is important to detect portal
venous gas early. In detection of portal venous gas, ultrasound and
computed tomography are more sensitive than plain radiographs.
Pylephlebitis used to be a dreaded complication of appendicitis, but
the incidence of this disease has greatly declined since the
development of antibiotics and modern surgical techniques. We
present two cases of pylephlebitis associated with gas in the portal
vein as a result of left colonic diverticulitis treated by bowel
resection. In spite of the occurrence of portal venous gas, the
outcome may be favourable if this disease undergoes prompt surgical
treatment.
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citation
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Häner C, Inderbitzi R, Badulescu M, Teuscher J. [Septic
pylephlebitis with detection of gas in the portal vein: a rare
complication of sigmoid diverticulitis]. Schweizerische medizinische
Wochenschrift 1998; 128:1339-44.
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type
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journal paper/review (Translation2::getLang(): unknown language "".
Use Translation2::setLang() to set a default language.)
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date of publishing
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5-9-1998
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journal title
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Schweizerische medizinische Wochenschrift (128/36)
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ISSN print
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0036-7672
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pages
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1339-44
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PubMed
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9784677
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