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Enferm Infecc Microbiol Clin. 2014 Jun-Jul;32(6):350-4. doi: 10.1016/j.eimc.2013.09.002. Epub 2014 May 17.

Pylephlebitis: incidence and prognosis in a tertiary hospital.

Author information

1
Department of Internal Medicine, Unit of Infectious Diseases, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain. Electronic address: mbelhassen@hotmail.com.
2
Department of Internal Medicine, IBSAL, University Hospital of Salamanca, University of Salamanca, Salamanca, Spain.
3
Department of Internal Medicine, General Hospital of Palencia «Río Carrión», Palencia, Spain.
4
Department of Internal Medicine, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain.
5
Department of Haematology, Txagorritxu' Hospital, Vitoria-Gasteiz, Spain.
6
CAP Jose Barros-Camargo, Muriedas, Cantabria, Spain.
7
Department of Internal Medicine, IBSAL, University Hospital of Salamanca, Salamanca, Spain.
8
Department of Surgery, IBSAL, University Hospital of Salamanca, University of Salamanca, Salamanca, Spain.
9
Department of Internal Medicine, Unit of Infectious Diseases, IBSAL, University Hospital of Salamanca, CIETUS, University of Salamanca, Salamanca, Spain.

Abstract

OBJECTIVES:

Septic thrombophlebitis of the portal vein or its branches, most often secondary to intra-abdominal infection is known as pylephlebitis. The frequency and the prognosis of this complication are unknown. The aim of this study was to determine the global and relative incidence of the most frequent intra-abdominal infections and the real prognosis of this disease.

METHODS:

An observational retrospective study was conducted in a tertiary care hospital (University Hospital of Salamanca, Spain) from January 1999 to December 2008.

RESULTS:

A total of 7796 patients with intra-abdominal infection were evaluated, of whom 13 (0.6%) had been diagnosed with pylephlebitis. Diverticulitis was the most frequent underlying process, followed by biliary infection. Early mortality was 23%. Survivors had no recurrences, but one of them developed portal cavernomatosis.

CONCLUSIONS:

Pylephlebitis is a rare complication of intra-abdominal infection, with a high early mortality, but with a good prognosis for survivors.

KEYWORDS:

Infección intrabdominal; Intra-abdominal infection; Pileflebitis; Pylephlebitis; Septic thrombophlebitis; Tromboflebitis séptica

PMID:
24844192
DOI:
10.1016/j.eimc.2013.09.002
[Indexed for MEDLINE]

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