Moncef Belhassen-García1, Mercedes Gomez-Munuera2, Javier Pardo-Lledias3, Virginia Velasco-Tirado4, Ernesto Perez-Persona5, Inmaculada Galindo-Perez6, Lucia Alvela-Suárez7, Angela Romero-Alegría7, Luis Muñoz-Bellvis8, Miguel Cordero-Sánchez9. 1. Department of Internal Medicine, Unit of Infectious Diseases, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain. Electronic address: mbelhassen@hotmail.com. 2. Department of Internal Medicine, IBSAL, University Hospital of Salamanca, University of Salamanca, Salamanca, Spain. 3. Department of Internal Medicine, General Hospital of Palencia «Río Carrión», Palencia, Spain. 4. Department of Internal Medicine, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain. 5. Department of Haematology, Txagorritxu' Hospital, Vitoria-Gasteiz, Spain. 6. CAP Jose Barros-Camargo, Muriedas, Cantabria, Spain. 7. Department of Internal Medicine, IBSAL, University Hospital of Salamanca, Salamanca, Spain. 8. Department of Surgery, IBSAL, University Hospital of Salamanca, University of Salamanca, Salamanca, Spain. 9. Department of Internal Medicine, Unit of Infectious Diseases, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain.
Abstract
OBJECTIVES: Septic thrombophlebitis of the portal vein or its branches, most often secondary to intra-abdominal infection is known as pylephlebitis. The frequency and the prognosis of this complication are unknown. The aim of this study was to determine the global and relative incidence of the most frequent intra-abdominal infections and the real prognosis of this disease. METHODS: An observational retrospective study was conducted in a tertiary care hospital (University Hospital of Salamanca, Spain) from January 1999 to December 2008. RESULTS: A total of 7796 patients with intra-abdominal infection were evaluated, of whom 13 (0.6%) had been diagnosed with pylephlebitis. Diverticulitis was the most frequent underlying process, followed by biliary infection. Early mortality was 23%. Survivors had no recurrences, but one of them developed portal cavernomatosis. CONCLUSIONS: Pylephlebitis is a rare complication of intra-abdominal infection, with a high early mortality, but with a good prognosis for survivors.
OBJECTIVES:Septic thrombophlebitis of the portal vein or its branches, most often secondary to intra-abdominal infection is known as pylephlebitis. The frequency and the prognosis of this complication are unknown. The aim of this study was to determine the global and relative incidence of the most frequent intra-abdominal infections and the real prognosis of this disease. METHODS: An observational retrospective study was conducted in a tertiary care hospital (University Hospital of Salamanca, Spain) from January 1999 to December 2008. RESULTS: A total of 7796 patients with intra-abdominal infection were evaluated, of whom 13 (0.6%) had been diagnosed with pylephlebitis. Diverticulitis was the most frequent underlying process, followed by biliary infection. Early mortality was 23%. Survivors had no recurrences, but one of them developed portal cavernomatosis. CONCLUSIONS: Pylephlebitis is a rare complication of intra-abdominal infection, with a high early mortality, but with a good prognosis for survivors.
Authors: Dorde Jevtic; Tatjana Gavrancic; Ivana Pantic; Terri Nordin; Charles W Nordstrom; Marina Antic; Nikola Pantic; Marija Kaljevic; Bojan Joksimovic; Milan Jovanovic; Emilia Petcu; Mladen Jecmenica; Tamara Milovanovic; Lawrence Sprecher; Igor Dumic Journal: J Clin Med Date: 2022-08-25 Impact factor: 4.964
Authors: Rodolfo Mendes Queiroz; Fernando Dias Couto Sampaio; Pedro Eduardo Marques; Marcus Antônio Ferez; Eduardo Miguel Febronio Journal: Radiol Bras Date: 2018 Sep-Oct