<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282020000100034</article-id>
<article-id pub-id-type="doi">10.29315/gm.v7i1.301</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Tromboflebite Séptica da Veia Porta como Complicação de Apendicite Aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Septic Thrombophlebitis of the Portal Vein as a Complication of Acute Appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souto]]></surname>
<given-names><![CDATA[Márcia Mendonça]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvas]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canelas]]></surname>
<given-names><![CDATA[Cátia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Linhares]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Renata]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de Trás-os-Montes e Alto Douro Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Vila Real ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde do Nordeste Serviço de Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>34</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282020000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282020000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282020000100034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A pileflebite é uma tromboflebite da veia porta, ou suas tributárias, secundária a um processo infeccioso intra-abdominal. Apresentamos o caso de um homem de 40 anos que recorre ao serviço de urgência com dor abdominal nos quadrantes inferiores, vómitos biliares com oito dias de evolução. Analiticamente: leucocitose de 17 000 uL, proteína C reativa elevada. Ecografia abdominal compatível com apendicite aguda. Realizou apendicectomia de McBurney. Ficou internado no Serviço de Cirurgia. Ao dia 2 de internamento iniciou febre e distensão abdominal. Na tomografia computorizada abdominal constata-se veia porta com trombo endoluminal não completamente obstrutivo, que se estende à veia mesentérica superior (ocluída nos ramos proximais e segmentares). Iniciou hipocoagulação e antibioterapia, ficando orientado para consulta externa, onde realizou estudo protrombótico e excluídas causas de doença hepática. Estudo de imagem aos 3 meses de hipocoagulação mostrou trombose da porta recanalizada, sem colaterização.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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&#8217;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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Apendicite]]></kwd>
<kwd lng="pt"><![CDATA[Sepse]]></kwd>
<kwd lng="pt"><![CDATA[Tromboflebite]]></kwd>
<kwd lng="pt"><![CDATA[Veia Porta]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Portal Vein]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Thrombophlebitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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