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Thrombophlebitis of the portal venous system (PVS) with superimposed bacterial infection (septic pylephlebitis) is an extremely rare complication of Crohn’s disease (CD), and therefore diagnosis of septic pylephlebitis is difficult without high clinical suspicion. A 16-year old male patient who was diagnosed with CD 3 months earlier was admitted with recurrent fever and abdominal pain. CD activity had been well controlled with conventional medical treatment during a follow-up period. Abdominal contrast-enhanced computed tomography showed massive thrombosis in the PVS without evidence of intra-abdominal infection, and blood cultures were positive for Streptococcus viridians. There was no evidence of deep vein thrombosis or pulmonary thromboembolism, and all laboratory tests for thrombophilia were normal. Based on these findings, the patient was diagnosed with septic pylephlebitis complicated with CD, and was successfully treated with intravenous antibiotic therapy combined with anticoagulation. This case suggests that early comprehensive evaluation is crucial for immediate diagnosis and proper treatment of septic pylephlebitis in patients with CD who present with fever and abdominal pain of unknown origin, even with stable disease activity and absence of other intra-abdominal infections.

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기사명 저자명 페이지 원문 목차
위암 환자의 영양평가와 수술 전후의 영양지원 서경원, 윤기영 pp.186-190

Helicobacter pylori infection and duodenal gastric metaplasia in healthy young adults Ji-Hyun Seo, Hyun-Jeong Do, Chan-Hoo Park, Hyang-Ok Woo, Hee-Shang Youn, Gyung-Hyuck Ko, Seung-Chul Baik, Woo-Kon Lee, Myung-Je Cho, Kwang-Ho Rhee … [et al.] pp.191-195

미분화 조기위암에서 내시경 점막하박리술의 치료 성적 최문한, 홍수진, 한재필, 송정엽, 김대용, 서성우, 하지수, 이윤나, 고봉민, 이문성 pp.196-202

Factors associated with vaccination among inflammatory bowel disease patients in Korea Hwan Sic Yun, Yang Won Min, Dong Kyoung Chang, Poong-Lyul Rhee, Jae J. Kim, Jong Chul Rhee, Young-Ho Kim pp.203-208

Prevalence of occult hepatitis B virus infection in hemodialysis patients Jeong Hwan Yoo, Seong Gyu Hwang, Dong Ho Yang, Myung Su Son, Chang-Il Kwon, Kwang Hyun Ko, Sung Pyo Hong, Pil Won Park, Kyu Sung Rim pp.209-214

Salvage technique for endoscopic removal of a sharp fish bone impacted in the esophagus using a transparent cap and detachable snares Jong Soo Lee, Hoon Jai Chun, Jae Min Lee, Young Jae Hwang, Seung Han Kim, Eun Sun Kim, Yoon Tae Jeen, Hyun Joo Lee pp.215-218

Septic pylephlebitis as a rare complication of Crohn's disease A Ri Shin, Chang Kyun Lee, Hyo Jong Kim, Jae-Jun Shim, Jae Young Jang, Seok Ho Dong, Byung Ho Kim, Young Woon Chang pp.219-224

전이성 간암환자에서 간동맥 화학색전술 후 발생한 간농양에 합병된 척수경막외농양 1예 이용재, 김광하, 박도윤, 김석, 박창준, 김태균, 고정희 pp.225-229

복부동맥류 치료를 위하여 삽입한 혈관 내 스텐트로 인하여 유발된 대동맥 장관루의 혈관조영색전술 치료 1예 고광훈, 김설영, 정일순, 김규섭, 문희석, 성재규, 정현용 pp.230-233

버거병 환자의 상장간막동맥 폐색에 의한 중증 출혈성 장경색 옥경삼, 김유선, 홍성우, 이혜경 pp.234-236

20대 성인에서 발견되는 십이지장의 위 화생은 Helicobacter pylori 감염과 무관한가? 김경미 pp.184-185

무엇이 불완전한 용종절제와 관련이 있는가? 주영은 pp.237-239

기생충 쫓아 40년 임재훈 pp.181-183

참고문헌 (19건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Is inflammatory bowel disease an independent and disease specific risk factor for thromboembolism? 네이버 미소장
2 Septic thrombophlebitis of the superior mesenteric vein and multiple liver abscesses in a patient with Crohn's disease at onset. 네이버 미소장
3 Sherigar R, Amir KA, Bobba RK, Arsura EL, Srinivas N. Abdominal pain secondary to pylephlebitis: an uncommon disease of the portal venous system, treated with local thrombolytic therapy. Dig Dis Sci 2005;50:983-987. 미소장
4 Regional enteritis complicated by pylephlebitis and multiple liver abscesses 네이버 미소장
5 Pylephlebitis: a case report and review of outcome in the antibiotic era. 네이버 미소장
6 Portal Pyaemia as a Presenting Feature of Paediatric Crohn Disease 네이버 미소장
7 Ng SS, Yiu RY, Lee JF, Li JC, Leung KL. Portal venous gas and thrombosis in a Chinese patient with fulminant Crohn's colitis: a case report with literature review. World J Gastroenterol 2006;12:5582-5586. 미소장
8 Crohn’s disease presenting as septic thrombophlebitis of the portal vein (pylephlebitis): case report and review of the literature 네이버 미소장
9 Portal-mesenteric pylephlebitis with hepatic abscesses in a patient with Crohn's disease treated successfully with anticoagulation and antibiotics. 네이버 미소장
10 Enterovenous fistula: unusual complication of Crohn disease. 네이버 미소장
11 Suppurative pylephlebitis. 네이버 미소장
12 Mesenteric arterial thrombosis as a complication of Crohn's disease. 네이버 미소장
13 Freeman HJ. Venous thromboembolism with inflammatory bowel disease. World J Gastroenterol 2008;14:991-993. 미소장
14 Murthy SK, Nguyen GC. Venous thromboembolism in inflammatory bowel disease: an epidemiological review. Am J Gastroenterol 2011;106:713-718. 미소장
15 Venous thromboembolism during active disease and remission in inflammatory bowel disease: a cohort study 네이버 미소장
16 Intra-abdominal venous and arterial thromboembolism in inflammatory bowel disease. 네이버 미소장
17 Guidelines for the management of inflammatory bowel disease in adults. 네이버 미소장
18 Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). 네이버 미소장
19 Inflammatory Bowel Disease Is a Risk Factor for Recurrent Venous Thromboembolism 네이버 미소장

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