Pylephlebitis secondary to strangulated umbilical hernia with small bowel ischemia


https://doi.org/10.4081/ecj.2013.e12
Vol. 9 No. 1 (2013)
Submitted: 21 March 2013
Accepted: 30 May 2013
Published: 9 August 2013
pylephlebitis, strangulated umbilical hernia, small bowel ischemia
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Authors

Pylephlebitis is a septic thrombophlebitis of the portal venous system that infrequently complicates small bowel infarction. We present a case of pylephlebitis with portomesenteric vein gas bubbles secondary to small bowel ischemia caused by a strangulated umbilical hernia, diagnosed on computed tomography (CT) and confirmed in the operating theater. This case is an example of the usefulness of CT in early recognition of suggestive radiologic findings of pylephlebitis associated with intestinal ischemia for prompt treatment of the patient.

Ennio Bruschi, Radiology Department, Sant’Antonio Abate Hospital, Tolmezzo
radiology department - physician
Giovanna Graziani, Radiology Department, Sant’Antonio Abate Hospital, Tolmezzo
radiology department - physician
Maurizio Vergendo, Radiology Department, Sant’Antonio Abate Hospital, Tolmezzo
radiology department - physician
Antonello Conte, Surgery Department, Sant’Antonio Abate Hospital, Tolmezzo
surgery department - physician
Massimo Valentino, Radiology Department, Sant’Antonio Abate Hospital, Tolmezzo
radiology departmente - head physician
Bruschi, E., Graziani, G., Vergendo, M., Conte, A., & Valentino, M. (2013). Pylephlebitis secondary to strangulated umbilical hernia with small bowel ischemia. Emergency Care Journal, 9(1), e12. https://doi.org/10.4081/ecj.2013.e12

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