Thrombophlebitis of abdominal veins as an unusual cause for acute abdomen: avoiding the diagnostic pitfalls
- PMID: 32583089
- DOI: 10.1007/s10140-020-01811-3
Thrombophlebitis of abdominal veins as an unusual cause for acute abdomen: avoiding the diagnostic pitfalls
Abstract
The purpose of this pictorial essay is to review the imaging appearances of the spectrum of thrombophlebitis of abdominal veins on computed tomography (CT) scans. Thrombophlebitis of abdominal veins is rare but mimics other more common conditions presenting with acute abdomen. Due to non-specific presenting symptoms, signs and laboratory findings, diagnosis is largely reliant on imaging, particularly CT which is readily available in the emergency setting.
Keywords: Abdomen; Pylephlebitis; Thrombophlebitis; Veins.
Similar articles
-
Pylephlebitis Complicating Acute Appendicitis: Prompt Diagnosis with Contrast-Enhanced Computed Tomography.J Emerg Med. 2016 Mar;50(3):e147-9. doi: 10.1016/j.jemermed.2015.06.083. Epub 2016 Jan 22. J Emerg Med. 2016. PMID: 26810023
-
Impact of CT on diagnosis and management of acute abdomen in patients initially treated without surgery.AJR Am J Roentgenol. 1997 Jan;168(1):173-8. doi: 10.2214/ajr.168.1.8976942. AJR Am J Roentgenol. 1997. PMID: 8976942
-
Septic thrombophlebitis of the mesenteric and portal veins: CT imaging.J Comput Assist Tomogr. 2000 Sep-Oct;24(5):755-60. doi: 10.1097/00004728-200009000-00017. J Comput Assist Tomogr. 2000. PMID: 11045699 Review.
-
Is the devil in the detail? The quality and clinical impact of information provided on requests for non-trauma emergency abdominal CT scans.Acta Radiol. 2016 Oct;57(10):1217-22. doi: 10.1177/0284185115626474. Epub 2016 Jan 18. Acta Radiol. 2016. PMID: 26787676
-
Omental infarction and its mimics: imaging features of acute abdominal conditions presenting with fat stranding greater than the degree of bowel wall thickening.Emerg Radiol. 2015 Aug;22(4):431-6. doi: 10.1007/s10140-015-1302-0. Epub 2015 Mar 1. Emerg Radiol. 2015. PMID: 25725796 Review.
Cited by
-
Suppurative Thrombosis of the Portal Vein (Pylephlebits): A Systematic Review of Literature.J Clin Med. 2022 Aug 25;11(17):4992. doi: 10.3390/jcm11174992. J Clin Med. 2022. PMID: 36078922 Free PMC article. Review.
-
Pylephlebitis: A Systematic Review on Etiology, Diagnosis, and Treatment of Infective Portal Vein Thrombosis.Diagnostics (Basel). 2023 Jan 25;13(3):429. doi: 10.3390/diagnostics13030429. Diagnostics (Basel). 2023. PMID: 36766534 Free PMC article. Review.
References
-
- Choudhry AJ, Baghdadi YMK, Amr MA, Alzghari MJ, Jenkins DH, Zielinski MD (2016) Pylephlebitis: a review of 95 cases. J Gastrointest Surg 20:656–661. https://doi.org/10.1007/s11605-015-2875-3 - DOI - PubMed
-
- Kanellopoulou T, Alexopoulou A, Theodossiades G, Koskinas J, Archimandritis AJ (2010) Pylephlebitis: an overview of non-cirrhotic cases and factors related to outcome. Scand J Infect Dis 42:804–811. https://doi.org/10.3109/00365548.2010.508464 - DOI - PubMed
-
- Balthazar EJ, Gollapudi P (2000) Septic thrombophlebitis of the mesenteric and portal veins: CT imaging. J Comput Assist Tomogr 24:755–760. https://doi.org/10.1097/00004728-200009000-00017 - DOI - PubMed
-
- Belhassen-García M, Gomez-Munuera M, Pardo-Lledias J, Velasco-Tirado V, Perez-Persona E, Galindo-Perez I, Alvela-Suárez L, Romero-Alegría Á, Muñoz-Bellvis L, Cordero-Sánchez M (2014) Pylephlebitis: incidence and prognosis in a tertiary hospital. Enferm Infecc Microbiol Clin 32:350–354. https://doi.org/10.1016/j.eimc.2013.09.002 - DOI - PubMed
-
- Dotters-Katz SK, Smid MC, Grace MR et al (2017) Risk factors for postpartum septic pelvic thrombophlebitis: a multicenter cohort. Am J Perinatol 34(11):1148–1151. https://doi.org/10.1055/s-0037-1604245 - DOI - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical