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Pylephlebitis, portal-mesenteric thrombosis, and multiple liver abscesses owing to perforated appendicitis.因阑尾炎穿孔导致的门静脉炎、门静脉肠系膜血栓形成和多发性肝脓肿。
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[Suppurative pylephlebitis and hepatic abscesses due to embolic migration of stercoral material complicating a colonic diverticulitis].
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Suppurative Thrombosis of the Portal Vein (Pylephlebits): A Systematic Review of Literature.门静脉化脓性血栓形成（门静脉炎）：文献系统综述
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本文引用的文献

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Septic thrombophlebitis of the portal vein due to acute cholecystitis.急性胆囊炎所致门静脉化脓性血栓性静脉炎
Cir Cir. 2010 Sep-Oct;78(5):439-41.
2
Pylephlebitis: an overview of non-cirrhotic cases and factors related to outcome.门静脉炎：非肝硬化病例概述及与预后相关的因素
Scand J Infect Dis. 2010 Dec;42(11-12):804-11. doi: 10.3109/00365548.2010.508464. Epub 2010 Aug 25.
3
Septic thrombophlebitis of the superior mesenteric vein and multiple liver abscesses in a patient with Crohn's disease at onset.一名初发克罗恩病患者出现肠系膜上静脉脓毒性血栓性静脉炎及多发性肝脓肿。
BMC Gastroenterol. 2007 Jun 12;7:22. doi: 10.1186/1471-230X-7-22.
4
Acute mesenteric venous thrombosis: a better outcome achieved through improved imaging techniques and a changed policy of clinical management.急性肠系膜静脉血栓形成：通过改进成像技术和改变临床管理策略取得更好的结果。
Eur J Vasc Endovasc Surg. 2004 Sep;28(3):329-34. doi: 10.1016/j.ejvs.2004.06.001.
5
Portomesenteric vein gas: pathologic mechanisms, CT findings, and prognosis.门静脉肠系膜静脉积气：病理机制、CT表现及预后
Radiographics. 2000 Sep-Oct;20(5):1213-24; discussion 1224-6. doi: 10.1148/radiographics.20.5.g00se011213.
6
The role of anticoagulation in pylephlebitis.抗凝在门静脉炎中的作用。
Am J Surg. 1996 Nov;172(5):449-52; discussion 452-3. doi: 10.1016/S0002-9610(96)00220-6.
7
Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era.门静脉脓毒性血栓性静脉炎（门静脉炎）：现代的诊断与管理
Clin Infect Dis. 1995 Nov;21(5):1114-20. doi: 10.1093/clinids/21.5.1114.

结肠穿孔继发门静脉脓毒症

Portal pyaemia secondary to colonic perforation.

作者信息

Wong Chee Siong, Cho Gyuseong, Godfrey Edmund M, Harper Simon

机构信息

Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK.

Department of Radiology, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

出版信息

BMJ Case Rep. 2019 Apr 15;12(4):e228400. doi: 10.1136/bcr-2018-228400.

DOI:10.1136/bcr-2018-228400
PMID:30992283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506133/
Abstract

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. We report a case of portal pyaemia associated with multiple liver abscesses and discuss the medical and surgical management of this condition.

摘要

门静脉脓毒症或门静脉炎是门静脉系统的一种化脓性（通常为脓性）血栓性静脉炎。它可能作为腹腔内脓毒症（如憩室炎或阑尾炎）的并发症而发生。患者通常表现为高热，有时伴有黄疸。我们报告一例与多发性肝脓肿相关的门静脉脓毒症病例，并讨论该病症的内科和外科治疗。