c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Pylephlebitis: 1

A D V E R T I S E M E N T

   
 

An 80-year-old man presented with renal failure and mild abdominal pain. He had a history of right colon resection for cancer, CABG X4 (see CABG) and chronic atrial fibrillation for which he was anticoagulated. His white blood cell count was 20,000 with a left shift, creatinine was 8 and his INR was 3. He was afebrile, and examination of the abdomen was significant only for mild right periumbilical tenderness without guarding, rebound or mass.     

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Pylephlebitis: 2

A D V E R T I S E M E N T

   
 

The patient underwent CT scan, without IV contrast because of the renal failure. The scan was interpreted as showing pneumatosis coli with thickened colon wall just past the old ileocolic anastomosis.       

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Pylephlebitis: 3

A D V E R T I S E M E N T

   
 

In addition, there was air in intrahepatic portal vein radicals. The patient was transfused with fresh frozen plasma to correct the clotting deficit, and taken to the operating room with the presumptive diagnosis of dead bowel, probably from embolus secondary to atrial fibrillation, and pylephlebitis.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 3/26/2002.