Infeccious Thrombophlebitis in the Context of Diverticulitis – A Rare Complication

Abstract

Diverticulitis is a very common entity in emergency Radiology. Despite its frequency it may have rarer complications that may lead to a worse prognosis and that need to be diagnosed quickly to allow for a timely treatment.This article describes the case of a 71-year old male that came to our emergency room with complaints of abdominal pain and melenas.In this context, an abdominal and pelvis CT was done where sigmoidal diverticulitis was identified along with heterogeneous filling and gas in the inferior mesenteric vein with partial thrombosis of the splenic and portal vein and its intrahepatic segments compatible with the diagnosis of infeccious thrombophlebitis.The patient initiated treatment with broad spectrum antibiotics and oral anticoagulation with resolution of the radiological findings and clinical improvement in the follow-up examination.