Los Angeles County + University of Southern California Health Network, Department of Emergency Medicine, Los Angeles, California.
West J Emerg Med. 2013 Sep;14(5):428-30. doi: 10.5811/westjem.2013.1.15353.
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.
门静脉脓毒性血栓性静脉炎（pylephlebitis）是一种与多种化脓性腹部感染相关的门静脉血栓性静脉炎，如憩室炎、阑尾炎、胆管炎和胆囊炎。我们描述了一例阑尾炎患者出现门静脉脓毒性血栓性静脉炎的病例，该患者表现为发热和弥漫性、定位差的腹痛。我们旨在提高急诊医生对这种疾病的认识，因为及时开始使用抗生素和加快手术切除可能会改善这种潜在致命疾病的预后。
