Abstract

GUERRA-ZARAMA, Sebastián; GARCIA-RINCON, Cristian Iván; GONZALEZ-PEREZ, Javier Mauricio  and  RONCANCIO-VILLAMIL, Gustavo. Portal septic thrombophlebitis secondary to diverticulitis. CES Med. [online]. 2021, vol.35, n.2, pp.135-145.  Epub Feb 09, 2022. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.5935.

Septic thrombosis of the portal vein is a rare complication of diverticulitis, appendicitis and other intra-abdominal infections; it is associated with high rates of complications, such as mesenteric ischemia, liver abscess, portal hypertension or death. We present the case of a 67-year-old patient who consulted for fever, abdominal pain and jaundice, and in whom Escherichia coli and Streptococcus dysgalactiae bacteremia was documented; images showed hepatic portal thrombosis secondary to acute diverticular disease, which configures a diagnosis of septic pylephlebitis. The patient received targeted antibiotic therapy without anticoagulation, with adequate clinical response. The diagnosis, etiology, and treatment of portal septic thrombosis are discussed.

Keywords : Cholangitis; Diverticulitis; Portal vein; Portal septic thrombosis..

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )