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Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain
Pylephlebitis is a rare condition with a high mortality risk if not recognized and treated early. The most common symptoms include fever and abdominal pain, with the majority of cases manifesting with a polymicrobial bacteremia. We report an elderly woman with pylephlebitis presenting with fever, ab...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American College of Gastroenterology
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435405/ https://www.ncbi.nlm.nih.gov/pubmed/26157944 http://dx.doi.org/10.14309/crj.2015.35 |
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author | Gallinger, Zane R. May, Gary Kortan, Paul Bayoumi, Ahmed M. |
author_facet | Gallinger, Zane R. May, Gary Kortan, Paul Bayoumi, Ahmed M. |
author_sort | Gallinger, Zane R. |
collection | PubMed |
description | Pylephlebitis is a rare condition with a high mortality risk if not recognized and treated early. The most common symptoms include fever and abdominal pain, with the majority of cases manifesting with a polymicrobial bacteremia. We report an elderly woman with pylephlebitis presenting with fever, abdominal pain, diarrhea, and vomiting, likely secondary to a polypectomy 6 weeks prior. Abdominal CT revealed portal vein thrombus and blood cultures grew Streptococcus milleri and Haemophilus parainfluenza type V. Pylephlebitis should be considered when symptoms and signs of infection develop following endoscopic procedures, particularly in patients with an underlying hypercoaguable disease. |
format | Online Article Text |
id | pubmed-4435405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | American College of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-44354052015-07-08 Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain Gallinger, Zane R. May, Gary Kortan, Paul Bayoumi, Ahmed M. ACG Case Rep J Case Report Pylephlebitis is a rare condition with a high mortality risk if not recognized and treated early. The most common symptoms include fever and abdominal pain, with the majority of cases manifesting with a polymicrobial bacteremia. We report an elderly woman with pylephlebitis presenting with fever, abdominal pain, diarrhea, and vomiting, likely secondary to a polypectomy 6 weeks prior. Abdominal CT revealed portal vein thrombus and blood cultures grew Streptococcus milleri and Haemophilus parainfluenza type V. Pylephlebitis should be considered when symptoms and signs of infection develop following endoscopic procedures, particularly in patients with an underlying hypercoaguable disease. American College of Gastroenterology 2015-04-10 /pmc/articles/PMC4435405/ /pubmed/26157944 http://dx.doi.org/10.14309/crj.2015.35 Text en Copyright © Gallinger et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
spellingShingle | Case Report Gallinger, Zane R. May, Gary Kortan, Paul Bayoumi, Ahmed M. Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title | Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title_full | Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title_fullStr | Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title_full_unstemmed | Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title_short | Pylephlebitis After Colonic Polypectomy Causing Fever and Abdominal Pain |
title_sort | pylephlebitis after colonic polypectomy causing fever and abdominal pain |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435405/ https://www.ncbi.nlm.nih.gov/pubmed/26157944 http://dx.doi.org/10.14309/crj.2015.35 |
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