Septic Portal Vein Thrombosis, Clinical Presentation, and Management

Pylephlebitis, otherwise known as septic portal vein thrombosis, is an infective suppurative thrombosis of the portal vein and/or its intra-hepatic branches. It is a diagnosis that is frequently missed but easily treated with antibiotics. Therefore, it should be considered early on in any patient presenting with fever, abdominal pain, leukocytosis, and evidence of portal vein thrombosis on a CT scan. In this case report, we discuss a case of pylephlehitis as well as the etiologies, diagnosis, and treatment of septic portal vein thrombosis.

Automated summary

Pylephlebitis, also known as septic portal vein thrombosis, is an infective suppurative thrombosis of the portal vein and/or its intra-hepatic branches. It is often missed but easily treated with antibiotics. This case report discusses a case of pylephlebitis and the etiologies, diagnosis, and treatment of septic portal vein thrombosis.