Unreferenced date November 2006 orphan date November 2009 Pylephlebitis also called infective suppurative thrombosis of the portal vein is an inflammation of the portal vein or any of its branches. It is usually a complication of intraabdominal sepsis, most often following diverticulitis or appendicitis . It has a poor prognosis. It typically presents with fever, rigors and jaundice. This can lead to pre hepatic portal hypertension due to the obstruction. It is a cause of portal hypertension. In a third trimester pregnant woman, there is a minimal risk of premature delivery however, if rupture of the appendix occurs, peritonitis can lead to fetal death, abscess formation and pylephlebitis infectious thrombosis of the portal veins .Pylephlebitis is especially feared in pregnant women because of the already existing prothrombotic state. These complications are rare but feasible, especially if therapy is not offered within the first 24 hours of the initiation of symptoms. Dr. Suleiman, Y Questions like this are classic for USMLE step 3. Category Gastroenterology Category Inflammations Disease stub ... more details
Infobox Disease Name Portal vein thrombosis Image Pfortaderthrombose001.png Caption Portal vein thrombosis in computertomography. DiseasesDB ICD10 ICD10 I 81 i 80 ICD9 ICD9 452 ICDO OMIM MedlinePlus eMedicineSubj radio eMedicineTopic 571 MeshID Portal vein thrombosis is a form of venous thrombosis affecting the hepatic portal vein , which can lead to portal hypertension and reduction in the blood supply to the liver . Causes Causes can include pancreatitis , cirrhosis , diverticulitis , and cholangiocarcinoma . It is also a known Complication medicine complication of splenectomy ref Ali Cadili, Chris de Gara, Complications of Splenectomy , The American Journal of Medicine , 2008, pp 371 375. ref . Treatment Treatments include anticoagulant s, Shunt medical shunt s, Coronary artery bypass surgery bypass surgery , and Organ transplant transplant s. It also can be medically managed with blood thinners. See also Pylephlebitis References Reflist External links Commonscat Portal vein thrombosis http www.merck.com mmhe sec10 ch138 ch138e.html Merck Vascular diseases DEFAULTSORT Portal Vein Thrombosis Category Hepatology Category Angiology Category Diseases of veins, lymphatic vessels and lymph nodes disease stub de Pfortaderthrombose ... more details
9 oclc doi accessdate ref Pylephlebitis main PylephlebitisPylephlebitis is infection of the hepatic ... of the portal vein pylephlebitis diagnosis and management in the modern era journal Clin. Infect ... pmid8488411 cite journal author Perez Cruet MJ, Grable E, Drapkin MS, Jablons DM, Cano G title Pylephlebitis ... more details
Encyclopedia
top
