Santos Camila, Vallejo Angel, Del Pino Jose, Manzano Rolnel, Villalta Alex
Department of Critical Care Medicine, Monte Sinaí General Hospital, Guayaquil, ECU.
Department of Pediatric Diagnostic Radiology, Roberto Gilbert Elizalde Hospital, Guayaquil, ECU.
Cureus. 2025 Jul 10;17(7):e87679. doi: 10.7759/cureus.87679. eCollection 2025 Jul.
Pylephlebitis is a low-incidence condition worldwide, more commonly affecting the adult population. Its clinical presentation is nonspecific, thus requiring a detailed clinical history and confirmation through imaging studies (contrast-enhanced computed tomography). The literature recommends antibiotic treatment for at least six weeks and the use of anticoagulants. When diagnosed and treated early, the prognosis is generally favorable. This report presents a case of pylephlebitis with clinical symptoms of fever, vomiting, and diarrhea. The patient was diagnosed with pylephlebitis involving the right and left portal veins and the superior mesenteric vein. She showed clinical improvement following treatment with broad-spectrum antibiotics and anticoagulants.
门静脉炎是一种在全球发病率较低的疾病，更常见于成年人。其临床表现不具有特异性，因此需要详细的临床病史并通过影像学检查（增强计算机断层扫描）来确诊。文献推荐使用抗生素治疗至少六周，并使用抗凝剂。早期诊断并治疗时，预后通常较好。本报告介绍了一例伴有发热、呕吐和腹泻临床症状的门静脉炎病例。该患者被诊断为累及左右门静脉和肠系膜上静脉的门静脉炎。经广谱抗生素和抗凝剂治疗后，她的临床症状有所改善。
