Inferior Mesenteric Vein Thrombosis Resulting in Pylephlebitis in a Patient With Inflammatory Bowel Disease

被引:0
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作者
Becker, Erica C. [1 ]
Grover, Dheera [1 ]
Patel, Sanket [2 ]
Dhakras, Purabi [3 ]
Rossi, Lisa [4 ]
机构
[1] Univ Connecticut, Hlth Ctr, Dept Internal Med, Farmington, CT 06030 USA
[2] Cedars Sinai Med Ctr, Karsh Div Gastroenterol & Hepatol, Los Angeles, CA USA
[3] St Francis Hosp & Med Ctr, Div Pathol, Hartford, CT USA
[4] St Francis Hosp & Med Ctr, Div Gastroenterol, Hartford, CT USA
关键词
CROHNS-DISEASE;
D O I
10.14309/crj.0000000000000903
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Although uncommon, pylephlebitis is a life-threatening complication of mesenteric vein thrombosis. It is reported to affect adult men more commonly than women, with a median age of 57 years. Furthermore, few cases have been reported of pylephlebitis in patients with inflammatory bowel disease. Owing to low prevalence, there is a paucity of data regarding the diagnosis and management of pylephlebitis. Treatment approach ranges from conservative management (antibiotics and/or systemic anticoagulation) to surgical management. We report a case of a 62-year-old man diagnosed with inflammatory bowel disease with a course complicated by pylephlebitis of the inferior mesenteric vein managed successfully with antibiotics and anticoagulation.
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