Inferior Mesenteric Vein Thrombosis Resulting in Pylephlebitis in a Patient With Inflammatory Bowel Disease. Issue 11 (14th November 2022)

• Record Type: Journal Article
• Authors: Becker, Erica C.; Grover, Dheera; Patel, Sanket; Dhakras, Purabi; Rossi, Lisa
• Is Part Of: ACG Case Reports Journal. Volume 9:Issue 11(2022)
• Page Start: e00903
• Publication Date: 2022-11-14
• DOI: 10.14309/crj.0000000000000903
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Although uncommon, pylephlebitis is a life-threatening complication of mesenteric vein thrombosis. It is reported to affect adult men more commonly than women, with a median age of 57 years. Furthermore, few cases have been reported of pylephlebitis in patients with inflammatory bowel disease. Owing to low prevalence, there is a paucity of data regarding the diagnosis and management of pylephlebitis. Treatment approach ranges from conservative management (antibiotics and/or systemic anticoagulation) to surgical management. We report a case of a 62-year-old man diagnosed with inflammatory bowel disease with a course complicated by pylephlebitis of the inferior mesenteric vein managed successfully with antibiotics and anticoagulation.