A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula
Pylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain a...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/3931674 |
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| author | Kouki Imaoka Saburo Fukuda Hirofumi Tazawa Sotaro Fukuhara Yuzo Hirata Seiji Fujisaki Mamoru Takahashi Hideto Sakimoto |
| author_facet | Kouki Imaoka Saburo Fukuda Hirofumi Tazawa Sotaro Fukuhara Yuzo Hirata Seiji Fujisaki Mamoru Takahashi Hideto Sakimoto |
| author_sort | Kouki Imaoka |
| collection | DOAJ |
| description | Pylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain and anorexia for 1 month. Abdominal contrast-enhanced computed tomography (CT) revealed thrombosis in the left and anterior branch of the portal vein and thickening of the walls of the portal vein and periside portals. The gallbladder was collapsed and pneumobilia was seen in the biliary tract. Blood culture was positive for Streptococcus anginosus. A diagnosis of thrombophlebitis of the portal vein associated with CCF was made, and the patient was immediately managed with an intravenous broad-spectrum antibiotic and anticoagulation. After the portal vein thrombosis (PVT) propagation and inflammation had subsided, cholecystectomy and partial resection of the transverse colon were performed. Pylephlebitis is rare but is a life-threatening complication of intra-abdominal infection. A high index of suspicion is required, and a CT scan should be performed immediately for an early diagnosis and appropriate treatment. |
| format | Article |
| id | doaj-art-9273705cad5b486ca27b754e3e707fd9 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-9273705cad5b486ca27b754e3e707fd92025-02-03T06:44:40ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/39316743931674A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic FistulaKouki Imaoka0Saburo Fukuda1Hirofumi Tazawa2Sotaro Fukuhara3Yuzo Hirata4Seiji Fujisaki5Mamoru Takahashi6Hideto Sakimoto7Department of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama, Kure, Hiroshima 7007-0023, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, Hiroshima 737-0193, JapanPylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain and anorexia for 1 month. Abdominal contrast-enhanced computed tomography (CT) revealed thrombosis in the left and anterior branch of the portal vein and thickening of the walls of the portal vein and periside portals. The gallbladder was collapsed and pneumobilia was seen in the biliary tract. Blood culture was positive for Streptococcus anginosus. A diagnosis of thrombophlebitis of the portal vein associated with CCF was made, and the patient was immediately managed with an intravenous broad-spectrum antibiotic and anticoagulation. After the portal vein thrombosis (PVT) propagation and inflammation had subsided, cholecystectomy and partial resection of the transverse colon were performed. Pylephlebitis is rare but is a life-threatening complication of intra-abdominal infection. A high index of suspicion is required, and a CT scan should be performed immediately for an early diagnosis and appropriate treatment.http://dx.doi.org/10.1155/2018/3931674 |
| spellingShingle | Kouki Imaoka Saburo Fukuda Hirofumi Tazawa Sotaro Fukuhara Yuzo Hirata Seiji Fujisaki Mamoru Takahashi Hideto Sakimoto A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula Case Reports in Surgery |
| title | A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula |
| title_full | A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula |
| title_fullStr | A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula |
| title_full_unstemmed | A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula |
| title_short | A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula |
| title_sort | rare case of pylephlebitis as a complication of cholecystocolonic fistula |
| url | http://dx.doi.org/10.1155/2018/3931674 |
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