Septic Thrombophlebitis of the Portal Vein: A Case Report

Pylephlebitis, a septic thrombophlebitis of the portal vein, typically arises as a complication of intra-abdominal infection. We report the case of a 53-year-old woman whose presenting symptoms included fever and abdominal pain. Imaging revealed portal vein thrombosis. An evaluation was performed to identify a potential underlying infectious source. She was treated with antibiotics and anticoagulation. This case highlights the diagnostic and therapeutic complexities in the evaluation and management of pylephlebitis.

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Publication Details

Journal
Cureus
Published
2026-02-13
DOI
https://doi.org/10.7759/cureus.103559
Primary Topic
Liver Disease and Transplantation
Type
article
Field-Weighted Citation Impact
0.00
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article

Septic Thrombophlebitis of the Portal Vein: A Case Report

Eyong J. Ly, Megana Ballal
Cureus
Liver Disease and Transplantation
article

Septic Thrombophlebitis of the Portal Vein: A Case Report

Eyong J. Ly, Megana Ballal
article en

Abstract

Pylephlebitis, a septic thrombophlebitis of the portal vein, typically arises as a complication of intra-abdominal infection. We report the case of a 53-year-old woman whose presenting symptoms included fever and abdominal pain. Imaging revealed portal vein thrombosis. An evaluation was performed to identify a potential underlying infectious source. She was treated with antibiotics and anticoagulation. This case highlights the diagnostic and therapeutic complexities in the evaluation and management of pylephlebitis.

CureusVol. 18(2)
University of California, Los Angeles (US), Los Angeles Medical Center (US), Orthopaedic Hospital (US)
Good health and well-being
Openalex Percentile: Top 56%
Liver Disease and Transplantation
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