Pylephlebitis mit Luft im Pfortadersystem

Kluge, Sebastian; Hahn, Karen; Lund, Carolyn; Gocht, A.; Kreymann, G.

doi:10.1055/s-2003-40107

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…However, the presence of portal venous gas (PVG) associated with PVT could be a rare but serious, even catastrophic condition in IBD patients [33]; to date 21 cases of PVG associated with CD have been reported in the scientific literature [34–37]. Among 182 case studies reported by Chande et al [38], patients with UC or CD comprised 4% of the total.…”

Section: Discussionmentioning

confidence: 99%

The Role of Portal Vein Thrombosis in the Clinical Course of Inflammatory Bowel Diseases: Report on Three Cases and Review of the Literature

Sinagra

Aragona

Romano

et al. 2012

Gastroenterology Research and Practice

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Inflammatory bowel diseases are associated with an increased risk of vascular complications. The most important are arterial and venous thromboembolisms, which are considered as specific extraintestinal manifestations of inflammatory bowel diseases. Among venous thromboembolism events, portal vein thrombosis has been described in inflammatory bowel diseases. We report three cases of portal vein thrombosis occurring in patients with active inflammatory bowel disease. In two of them, hepatic abscess was present. Furthermore, we performed a systematic review based on the clinical literature published on this topic.

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Section: Discussionmentioning

confidence: 99%

The Role of Portal Vein Thrombosis in the Clinical Course of Inflammatory Bowel Diseases: Report on Three Cases and Review of the Literature

Sinagra

Aragona

Romano

et al. 2012

Gastroenterology Research and Practice

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“…The CT scan findings in our patients were gas and clot in the affected vein. The finding of gas formation in the portal vein on CT scan has been implicated in pylephlebitis, but the diagnosis is not proven 12 . Ultrasound with Doppler helps in identifying flow abnormalities and also assesses the progression or resolution of thrombus.…”

Section: Discussionmentioning

confidence: 99%

“…The finding of gas formation in the portal vein on CT scan has been implicated in pylephlebitis, but the diagnosis is not proven. 12 Ultrasound with Doppler helps in identifying flow abnormalities and also assesses the progression or resolution of thrombus. Magnetic resonance imaging is used to differentiate between acute and chronic thrombus.…”

Section: Discussionmentioning

confidence: 99%

Atypical Pylephlebitis

Vanaparthy

Greene

2021

Infect Dis Clin Pract

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Pylephlebitis is also called suppurative thrombophlebitis of the portal venous mesenteric system. It is often seen as a complication of intra-abdominal infection, mainly diverticulitis and appendicitis. It is a rare disease with high mortality. Because of its nonspecific presentation, diagnosis is usually missed. So, it is important to consider pylephlebitis as one of the differential diagnoses if the patient presents with signs of abdominal sepsis. Pylephlebitis usually begins with thrombophlebitis of small veins draining an area of intra-abdominal infection and extends into larger veins that cause septic thrombophlebitis of the portal vein and further extending to mesenteric veins. Here, we present the case series of 6 patients older than 60 years who have underlying abdominal cancer at the Moffitt Cancer Center and Research Institute and review the literature.

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“…It is usually secondary to the development of intra-abdominal infective foci typically complicating diverticular disease, appendicitis and necrotizing pancreatitis [2] . This critical clinical condition can arise in inflammatory bowel diseases too [2] , [3] , [4] , [5] , [6] , [7] , [8] . However, in Crohn’s disease it is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

“…Pylephlebitis was described as a Crohn’s disease complication in 1946 by Taylor [3] and, to the best of our knowledge, only other 8 cases have been reported so far [2] , [4] , [5] , [6] , [7] , [8] . Furthermore, only in three of them the superior mesenteric vein was described to be primarily involved.…”

Section: Introductionmentioning

confidence: 94%

Pylephlebitis and Crohn’s disease: A rare case of septic shock

Scaringi

Giudici

Gabbani³

et al. 2017

International Journal of Surgery Case Reports

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HighlightsWe describe a rare case of septic shock due to mesenteric pylephlebitis in a 47 years old man affected with Crohn’s disease.The occurrence of mesenteric pylephlebitis in Crohn’s disease is extremely rare, but to be considered in presence of a septic shock without clinical signs of peritonitis.Computed tomography scan confirmed the diagnosis and medical therapy led to a complete clinical remission of the mesenteric pylephlebitis.Optimizing pylephlebitis management, we performed an elective surgery aiming to bowel sparing and minimizing the intra and post-operative complications.

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Pylephlebitis mit Luft im Pfortadersystem

Cited by 9 publications

References 8 publications

The Role of Portal Vein Thrombosis in the Clinical Course of Inflammatory Bowel Diseases: Report on Three Cases and Review of the Literature

The Role of Portal Vein Thrombosis in the Clinical Course of Inflammatory Bowel Diseases: Report on Three Cases and Review of the Literature

Atypical Pylephlebitis

Pylephlebitis and Crohn’s disease: A rare case of septic shock

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