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http://dx.doi.org/10.15403/jgld-5778 | DOI Listing |
Am J Case Rep
February 2025
Department of General and Visceral Surgery, Asklepios Klinik Nord Heiberg, Hamburg, Germany.
BACKGROUND Pylephlebitis is a septic thrombosis in the portal or mesenteric venous system that occurs as a complication of an intra-abdominal inflammatory process. We present the case of a 43-year-old man with a septic thrombosis of the portal drainage area and a colo-venous fistula complicating a sigmoid diverticulitis. CASE REPORT The patient presented after collapsing at home with unspecific symptoms such as diffuse abdominal pain.
View Article and Find Full Text PDFJ Gastrointestin Liver Dis
December 2024
Kastamonu University, Department of Radiology, Kastamonu, Turkey.
J Surg Case Rep
January 2022
Department of Surgery, Hinchingbrooke Hospital, Huntingdon, UK.
Acute diverticulitis is associated with a range of complications including fistula formation. Colovenous fistula formation, where there is a fistula between the inferior mesenteric vein and colon, is an extremely rare and serious complication of diverticulitis. Pylephlebitis, which is defined as infective suppurative thrombosis of the portal vein, is another uncommon complication of any intra-abdominal source of infection, including diverticulitis.
View Article and Find Full Text PDFActa Gastroenterol Belg
July 2021
Department of Gastroenterology and Hepatology, AZ Groeninge, Kortrijk, Belgium.
We report the case of a 59-year old man with portomesenteric venous gas (PMVG) due to inferior mesenteric vein fistulization caused by sigmoid diverticulitis with an unusual evolution. The patient initially presented with classic symptoms of lower abdominal pain and fever. Diagnosis of uncomplicated sigmoid diverticulitis was confirmed on computed tomography (CT) for which intravenous antibiotics were initiated.
View Article and Find Full Text PDFAm Surg
April 2018
Department of Surgery, Meharry Medical College, Nashville, Tennessee, USA.