BACKGROUND: Pylephlebitis or septic @entity2268 of the portal venous system is a rare but serious complication of @entity1320 which drain into the portal venous system. Its diagnosis is based on clinical suspicion and imaging tests, mainly a computed tomography scan, given the lack of specificity of the signs and symptoms. Spread of @entity999 is the major cause of morbidity and mortality. The aim of the study was to analyse @entity1 diagnosed in our hospital. MATERIAL AND METHODS: Retrospective descriptive study of @entity1 diagnosed with pylephlebitis in our hospital. CLINICAL CASES: Four @entity1 were included, 3 @entity1 and one @entity1 . In 3 cases it was acute @entity2679 that led to the diagnosis of pylephlebitis at the same time as the @entity1320 . Emergency surgery was performed in one case, whilst the other 2 were treated conservatively. Blood cultures were performed in all cases, and empirical antibiotic treatment was used. In the only case of @entity697 , diagnosis of pylephlebitis was achieved during the study of @entity86 , with empirical antibiotic treatment also being started. The haematologist was requested to start the required anticoagulation therapy in all cases. CONCLUSIONS: Pylephlebitis is a rare complication of @entity1320 that may make lead to a worse outcome. A high level of suspicion is required as well as imaging tests to make an early diagnosis and appropriate treatment.

[Pylephlebitis: a rare but possible complication of XXXX ].

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'men'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute appendicitis'] @entity999 :: ('MESH:D020766', 'Disease') :: ['septic emboli'] @entity2268 :: ('MESH:D013924', 'Disease') :: ['thrombophlebitis'] @entity2679 :: ('MESH:D002764', 'Disease') :: ['cholecystitis'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative fever'] @entity1320 :: ('MESH:D059413', 'Disease') :: ['intra-abdominal infection', 'intra-abdominal infections']
@entity1320 :: (MESH:D059413,Disease) :: ['intra-abdominal infections']
