Pylephlebitis
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Pylephlebitis (also called infective suppurative thrombosis of the portal vein) is an inflammation of the portal vein or any of its branches. It is usually a complication of intraabdominal sepsis, most often following diverticulitis or appendicitis. It has a poor prognosis. It typically presents with fever, rigors and jaundice.
It is a cause of portal hypertension.
In a third trimester pregnant woman, there is a minimal risk of premature delivery; however, if rupture of the appendix occurs, peritonitis can lead to fetal death, abscess formation and pylephlebitis (infectious thrombosis of the portal veins).Pylephlebitis is especially feared in pregnant women because of the already existing prothrombotic state. These complications are rare but feasible, especially if therapy is not offered within the first 24 hours of the initiation of symptoms. (Dr. Suleiman, Y)
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