Once a diagnosis of pylephlebitis is established, appropriate treatment should be started as soon as possible.
The role of anticoagulation therapy in the management of pylephlebitis remains controversial.
In our case, we strongly suspected CCF preoperatively due to the existence of pneumobilia on CT, and pylephlebitis was thought to be evoked by CCF.
In conclusion, pylephlebitis is a rare but life-threatening complication of intra-abdominal infections if not diagnosed and treated before the development of severe sepsis.
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Jamison, "Pylephlebitis: keep it in your differential diagnosis," American Journal of Surgery, vol.
Longfield, "Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era," Clinical Infectious Diseases, vol.
Stain, "The role of anticoagulation in pylephlebitis," American Journal of Surgery, vol.
Herein, we report a rare case of pylephlebitis secondary to K.
To the best of our knowledge, this is only the second case of pylephlebitis secondary to urinary infection in the literature; however, this is the first report in association with K.
In summary, although rare, pylephlebitis remains a less-recognized entity with a high rate of mortality.