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Skip Navigation LinksHome > September 2010 - Volume 103 - Issue 9 > Acute Pylephlebitis Following Gastrointestinal Infection: An...
Southern Medical Journal:
doi: 10.1097/SMJ.0b013e3181e63504
Case Reports

Acute Pylephlebitis Following Gastrointestinal Infection: An Unrecognized Cause of Septic Shock

Altamirano, José MD; Zapata, Laura MD; Poblano, Manuel MD; Rodríguez, Agustín MD; Camargo, Leonardo MD; Martínez, Belinda MD; Bataller, Ramón MD, PhD

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Abstract

Pylephlebitis is the septic thrombosis of the portal vein. Hypercoagulability and intra-abdominal sepsis are the main predisposing factors. A 25-year-old man presented to a primary health care center complaining of fever, epigastric pain, and jaundice. He was initially diagnosed with a gastrointestinal infection and alcoholic hepatitis and, due to his unstable clinical status, was referred to the emergency room. A diagnosis of acute pylephlebitis complicated with septic shock was made. Treatment with a wide-spectrum antibiotic and anticoagulation was initiated. Fifteen days later, recanalization of the portal vein was achieved and clinical status was improved. Pylephlebitis following gastrointestinal infection is a potential cause of septic shock.

© 2010 Southern Medical Association

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