Falkowski Anna L, Cathomas Gieri, Zerz Andreas, Rasch Helmut, Tarr Philip E
Department of Radiology and Nuclear Medicine, Kantonsspital Baselland, 4101 Bruderholz, Switzerland.
Cantonal Institute of Pathology, Kantonsspital Baselland, 4410 Liestal, Switzerland.
J Radiol Case Rep. 2014 Feb 1;8(2):37-45. doi: 10.3941/jrcr.v8i2.1698. eCollection 2014 Feb.
Pylephlebitis--suppurative thrombophlebitis of the portal and/or mesenteric veins--is a rare complication of abdominal infections, especially diverticulitis. It can lead to severe complications such as hepatic abscess, sepsis, peritonitis, bowel ischemia, etc., which increase the mortality rate. Here we present a case of suppurative thrombophlebitis of the inferior mesenteric vein, as a complication of sigmoid diverticulitis. The epidemiology, clinical and radiological features as well as treatment strategies are discussed. We also review the anatomy of the mesenteric vein given its anatomic variation in the present case and how this anatomic knowledge might influence the operative approach should surgery be necessary.
门静脉炎——门静脉和/或肠系膜静脉的化脓性血栓性静脉炎——是腹部感染（尤其是憩室炎）的一种罕见并发症。它可导致严重并发症，如肝脓肿、败血症、腹膜炎、肠缺血等，这些都会增加死亡率。在此，我们报告一例乙状结肠憩室炎并发症——肠系膜下静脉化脓性血栓性静脉炎的病例。文中讨论了其流行病学、临床和放射学特征以及治疗策略。鉴于本例中肠系膜静脉的解剖变异，我们还回顾了肠系膜静脉的解剖结构，以及在必要进行手术时，这种解剖学知识可能如何影响手术方式。
