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- Title
Trombosis séptica portal secundaria a diverticulitis.
- Authors
Guerra-Zarama, Sebastián; Iván García-Rincón, Cristian; Mauricio González-Pérez, Javier; Roncancio-Villamil, Gustavo
- Abstract
Septic thrombosis of the portal vein is a rare complication of diverticulitis, appendicitis and other intra-abdominal infections; it is associated with high rates of complications, such as mesenteric ischemia, liver abscess, portal hypertension or death. We present the case of a 67-year-old patient who consulted for fever, abdominal pain and jaundice, and in whom Escherichia coli and Streptococcus dysgalactiae bacteremia was documented; images showed hepatic portal thrombosis secondary to acute diverticular disease, which configures a diagnosis of septic pylephlebitis. The patient received targeted antibiotic therapy without anticoagulation, with adequate clinical response. The diagnosis, etiology, and treatment of portal septic thrombosis are discussed.
- Publication
CES Medicina, 2021, Vol 35, Issue 2, p135
- ISSN
0120-8705
- Publication type
Article
- DOI
10.21615/cesmedicina.5935