Pylephlebitis of the inferior mesenteric vein: a rare complication of sigmoid diverticulitis

2021 ◽  
Author(s):  
Kelly Ruecker ◽  
Bruce Wilkie ◽  
Daniel Marascia ◽  
Timothy Furlong ◽  
Jennifer Tang ◽  
...  
Keyword(s):  
Rare Complication ◽  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein

scholarly journals Pylephlebitis: A Case of Inferior Mesenteric Vein Thrombophlebitis in a Patient with Acute Sigmoid Diverticulitis—A Case Report and Clinical Management Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Aleena Zia ◽  
Sumit Sohal ◽  
Chris Costas
Keyword(s):  
Rare Complication ◽  
Sigmoid Diverticulitis ◽  
Sigmoid Colectomy ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein ◽  
Intravenous Antibiotics ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Abdominal Infections ◽  
Acute Sigmoid Diverticulitis

Pylephlebitis is a rare complication of intra-abdominal infections and describes thrombosis and infection as two different pathophysiological phenomena in the cause of this disease. The nonspecific presentation of disease makes its diagnosis difficult and thus leads to high mortality. The treatment comprises antibiotics and also includes controversial use of anticoagulation in these patients. Here, we present a patient with past medical history of human immunodeficiency virus and past diverticulitis who presented with fever, chills, diarrhea, neck pain, and photophobia. He was diagnosed with acute sigmoid diverticulitis with associated inferior mesenteric vein thrombophlebitis. He improved after intravenous antibiotics and anticoagulation and was discharged. He underwent sigmoid colectomy 3 months after his initial presentation and was advised to take anticoagulation for a total of 6 months.

Mesenteric Venous Thrombophlebitis–Septic Thrombophlebitis of the Inferior Mesenteric Vein: An Unusual Manifestation of Diverticulitis

2007 ◽  
Vol 73 (4) ◽  
pp. 404-406
Author(s):  
Bastian Domajnko ◽  
Amit Kumar ◽  
Rabih M. Salloum
Keyword(s):  
Ct Scan ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Sigmoid Diverticulitis ◽  
Sigmoid Colectomy ◽  
Inferior Mesenteric Vein ◽  
Septic Thrombophlebitis ◽  
Unusual Manifestation ◽  
Mesenteric Vein ◽  
Intravenous Antibiotics

We report a case of a 57-year-old female patient who presented with fever, abdominal pain, and bacteremia. A CT scan demonstrated sigmoid diverticulitis and air within the inferior mesenteric vein. The patient underwent exploratory laparotomy and sigmoid colectomy. She was discharged without complications. Septic thrombophlebitis of the inferior mesenteric vein is a rare complication of diverticulitis. It may manifest as bacteremia not responding to intravenous antibiotics. CT scan findings are diagnostic, and include evidence of intraluminal gas within the inferior mesenteric vein. As with any case of complicated diverticulitis, the treatment is surgical resection of the involved colon.

Septic thrombophlebitis of the inferior mesenteric vein from sigmoid diverticulitis

2003 ◽  
Vol 196 (2) ◽  
pp. 326-327 ◽  
Author(s):  
Mark Sywak ◽  
Clare Romano ◽  
Earl Raber ◽  
Janice L Pasieka
Keyword(s):  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Septic Thrombophlebitis ◽  
Mesenteric Vein

Massive Bleeding From Inferior Mesenteric Vein With Hypovolemic Shock: A Rare Complication of Acute Pancreatitis

2018 ◽  
Vol 55 (1) ◽  
pp. e5-e8
Author(s):  
Sun Hwa Lee ◽  
Seong Jong Yun ◽  
Seokyong Ryu ◽  
Seung Woon Choi ◽  
Hye Jin Kim ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Hypovolemic Shock ◽  
Massive Bleeding ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein

scholarly journals Inferior mesenteric vein pylephlebitis due to sigmoid diverticulitis

2015 ◽  
pp. bcr2015212599 ◽  
Author(s):  
Cisel Yazgan ◽  
Meltem Akkas ◽  
Mehmet Mahir Ozmen
Keyword(s):  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein

scholarly journals Sigmoid diverticulitis with inferior mesenteric vein fistula

2014 ◽  
Vol 95 (3) ◽  
pp. 321-322 ◽  
Author(s):  
J.-T. Perez ◽  
N. Alberti ◽  
C. Salut ◽  
N. Frulio ◽  
H. Trillaud
Keyword(s):  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein

scholarly journals Septic Thrombophlebitis of the Inferior Mesenteric Vein and Associated Mesenteric Abscess Complicating Sigmoid Diverticulitis: A Case Report

2013 ◽  
Vol 69 (1) ◽  
pp. 67
Author(s):  
Seongjae Cha ◽  
Hae-Kyung Lee ◽  
Beom Ha Yi ◽  
Min Hee Lee ◽  
Hyun-Sook Hong
Keyword(s):  
Case Report ◽  
Sigmoid Diverticulitis ◽  
Inferior Mesenteric Vein ◽  
Septic Thrombophlebitis ◽  
Mesenteric Vein

scholarly journals Gas in the Inferior Mesenteric Vein – successful non operative management of a rare complication of diverticulitis

2021 ◽  
pp. 232
Author(s):  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Rare Complication ◽  
Operative Management ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein ◽  
Important Complication ◽  
Non Operative Management

Septic phlebitis (also known as pyelephlebitis) because of diverticulitis is a rare but important complication. Many previous cases have mandated urgent surgical management for fear of further deterioration. This case report details one of the first cases where septic phlebitis was successfully managed conservatively, and details important clinical lessons clinicians should be aware of.

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