Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis

Pylephlebitis is a septic thrombophlebitis of the portal vein that is associated with multiple suppurative abdominal infections, such as diverticulitis, appendicitis, cholangitis, and cholecystitis. We describe a case of pylephlebitis in a patient with fever and diffuse, poorly localized abdominal p...

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Published in:Western Journal of Emergency Medicine
Main Authors: Christopher J Coyne, Ashokokkumar Jain
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2013-09-01
Subjects:
Online Access:http://escholarship.org/uc/item/7952c4bf#
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author Christopher J Coyne
Ashokokkumar Jain
author_facet Christopher J Coyne
Ashokokkumar Jain
author_sort Christopher J Coyne
collection DOAJ
container_title Western Journal of Emergency Medicine
description Pylephlebitis is a septic thrombophlebitis of the portal vein that is associated with multiple suppurative abdominal infections, such as diverticulitis, appendicitis, cholangitis, and cholecystitis. We describe a case of pylephlebitis in a patient with fever and diffuse, poorly localized abdominal pain who was eventually diagnosed with appendicitis. We aim to increase awareness of this condition among emergency physicians, as timely initiation of antibiotics and expedited surgical resection may improve outcomes in this potentially fatal disease. [West J Emerg Med. 2013;14(5):428–430.]
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spelling doaj-art-c84981d38ae44d8bbc0deeedafd3f3e22025-08-19T19:33:29ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182013-09-0114542843010.5811/westjem.2013.1.15353Pylephlebitis in a Previously Healthy Emergency Department Patient with AppendicitisChristopher J CoyneAshokokkumar JainPylephlebitis is a septic thrombophlebitis of the portal vein that is associated with multiple suppurative abdominal infections, such as diverticulitis, appendicitis, cholangitis, and cholecystitis. We describe a case of pylephlebitis in a patient with fever and diffuse, poorly localized abdominal pain who was eventually diagnosed with appendicitis. We aim to increase awareness of this condition among emergency physicians, as timely initiation of antibiotics and expedited surgical resection may improve outcomes in this potentially fatal disease. [West J Emerg Med. 2013;14(5):428–430.]http://escholarship.org/uc/item/7952c4bf#pylephlebitisappendicitisemergency medicine
spellingShingle Christopher J Coyne
Ashokokkumar Jain
Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
pylephlebitis
appendicitis
emergency medicine
title Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
title_full Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
title_fullStr Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
title_full_unstemmed Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
title_short Pylephlebitis in a Previously Healthy Emergency Department Patient with Appendicitis
title_sort pylephlebitis in a previously healthy emergency department patient with appendicitis
topic pylephlebitis
appendicitis
emergency medicine
url http://escholarship.org/uc/item/7952c4bf#
work_keys_str_mv AT christopherjcoyne pylephlebitisinapreviouslyhealthyemergencydepartmentpatientwithappendicitis
AT ashokokkumarjain pylephlebitisinapreviouslyhealthyemergencydepartmentpatientwithappendicitis