%0 Case Reports
%T Pylephlebitis Complicated by Bacteremia: A Rare Complication Following Laparoscopic Cholecystectomy.
%A Noor J
%A Chaudhry A
%A Batool S
%J Cureus
%V 15
%N 5
%D 2023 May
%M 37362511
暂无%R 10.7759/cureus.39440
%X Pylephlebitis is a rare but serious condition caused by intra-abdominal or pelvic infections that can lead to septic thrombophlebitis of the portal veins. While laparoscopic cholecystectomy is considered a safe and effective treatment option, it is not without its risks, and pylephlebitis following this procedure is an extremely rare occurrence. Here, we present the case of a 73-year-old male who presented with lower abdominal pain for the last two weeks. He had undergone laparoscopic cholecystectomy for symptomatic cholelithiasis four weeks prior with an unremarkable follow-up. Laboratory tests revealed leukocytosis and blood culture showed Streptococcus constellatus. A CT scan revealed portal vein thrombosis causing diffuse periportal edema throughout the liver. The patient was treated with antibiotics and anticoagulation for pylephlebitis.