Acute Pylephlebitis Following Gastrointestinal Infection: An Unrecognized Cause of Septic Shock

作者：Altamirano Jose^*; Zapata Laura; Poblano Manuel; Rodriguez Agustin; Camargo Leonardo; Martinez Belinda; Bataller Ramon

来源：Southern Medical Journal, 2010, 103(9): 956-959.

• anticoagulation
• portal hypertension
• portal vein
• pylephlebitis
• septic shock

Pylephlebitis is the septic thrombosis of the portal vein. Hypercoagulability and intra-abdominal sepsis are the main predisposing factors. A 25-year-old man presented to a primary health care center complaining of fever, epigastric pain, and jaundice. He was initially diagnosed with a gastrointestinal infection and alcoholic hepatitis and, due to his unstable clinical status, was referred to the emergency room. A diagnosis of acute pylephlebitis complicated with septic shock was made. Treatment with a wide-spectrum antibiotic and anticoagulation was initiated. Fifteen days later, recanalization of the portal vein was achieved and clinical status was improved. Pylephlebitis following gastrointestinal infection is a potential cause of septic shock.

• 出版日期2010-9