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A Case of Pylephlebitis of the Inferior Mesenteric Vein and Portal Vein
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Hae Sun Jung, Ki-Nam Shim, Ji Min Jung, Min-Jung Kang, Youn Ju Na, Sung Ae Jung, Kwon Yoo
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Intest Res 2009;7(2):105-109. Published online December 30, 2009
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 Abstract
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- Pylephlebitis is defined as septic thrombophlebitis of the portal vein or one of its tributaries. Pylephlebitis is an uncommon and often fatal complication of intra-abdominal infections, such as diverticulitis and appendicitis. The most common bacteria isolated from patients with pylephlebitis are Escherichia coli and Bacteroides fragilis. The overall mortality rate is 32%. We describe a case of septic thrombophlebitis of the main portal vein and inferior mesenteric vein successfully treated with broad-spectrum antibiotics and anticoagulants. The early diagnosis and treatment with the timely administration of antibiotics is most important for pylephlebitis. (Intest Res 2009;7:105-109)
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A Case of Crohn’s Disease with Psoas Abscess and Enterocutaneous Fistula
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Hae Sun Jung, Ki-Nam Shim, Min-Jung Kang, Su Jung Baik, Kum Hei Ryu, Sung-Ae Jung, Kwon Yoo, Seog Ki Min
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Intest Res 2007;5(2):188-191. Published online December 30, 2007
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Abstract
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- Crohn’s disease is a chronic, transmural and inflammatory disease of the gastrointestinal tract. Intraabdominal abscesses and fistulas are common complications in Crohn’s disease. However, the presence of a psoas abscess and enterocutaneous fistula in Crohn’s disease is very rare. The incidence of a psoas abscess is 0.4-4.3% and the incidence of an enterocutaneous fistula is 15-25%. Moreover, as a psoas abscess presents as a flexion contracture of the sacroiliac joint, it is apt to be misdiagnosed as arthritis, one of the common extraintestinal manifestations of Crohn’s disease. We describe here a case of a 26-year-old female who presented with pain and flexion contracture of the right sacroiliac joint. The patient was diagnosed with a psoas abscess and an enterocutaneous fistula as complications of Crohn’s disease. (Intest Res 2007;5:188-191)
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