Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Gazeta Médica
versión impresa ISSN 2183-8135versión On-line ISSN 2184-0628
Resumen
SOUTO, Márcia Mendonça et al. Septic Thrombophlebitis of the Portal Vein as a Complication of Acute Appendicitis. Gaz Med [online]. 2020, vol.7, n.1, pp.34-37. Epub 07-Jun-2021. ISSN 2183-8135. https://doi.org/10.29315/gm.v7i1.301.
Pylephlebitis is a thrombophlebitis of the portal vein, or its tributaries, secondary to an intra-abdominal infectious process. We present a case of a 40-year-old male, who went to the Emergency Department with lower abdominal pain and biliary vomiting with eight days of evolution. Analytically: leucocytosis 17 000 uL and high C-reactive protein. Abdominal ultrasound exam was compatible with acute appendicitis. The patient underwent a McBurney’s appendectomy and was admitted to the Surgery Department. By the second day of hospitalization he initiated fever and abdominal distension. The abdominal computed tomography scan showed an endoluminal thrombus, not totally obstructive, in the portal vein, that reached into the superior mesenteric vein. The patient initiated hypocoagulation and antibiotic therapy and was oriented to consultation, where we performed prothrombotic study and excluded causes of hepatic disease. Image study after 3 months of hypocoagulation showed recanalization of the portal vein thrombosis, without collateral vein formation.
Palabras clave : Appendicitis; Portal Vein; Sepsis; Thrombophlebitis.