Original scientific paper

https://doi.org/10.13112/PC.2021.16

Septic thrombophlebitis of the portal vein – a case report

João Louro
Beatriz Teixeira
ermelinda Santos Silva

Abstract

Septic thrombophlebitis of the portal venous system, also known as pylephlebitis, is a rare clinical condition with nonspecific clinical
presentation, in which imaging has a crucial role in its prompt diagnosis. We report a case of a 13-year-old male who presented with
fever, jaundice and hepatomegaly. Ultrasound and computed tomography revealed portal vein thrombosis, hepatomegaly, splenomegaly, and mild ascites. No primary focus of infection, underlying thrombophilia or malignancy was identified, and broad-spectrum antibiotic therapy and anticoagulation were initiated, resulting in clinical improvement and partial recanalization of the portal vein. Clinical and imaging follow-up should be maintained to exclude the development of portal hypertension.

Keywords

LIVER; PORTAL VEIN; THROMBOSIS; MULTIDETECTOR COMPUTED TOMOGRAPH

Hrčak ID:

260306

URI

https://hrcak.srce.hr/260306

Publication date:

9.7.2021.

Article data in other languages: croatian

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