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This case report aims to discuss the occurrence of pylephlebitis as a rare complication following acute cholangitis.

June 20, 2026CureusOpen Access

Pylephlebitis Following an Acute Angiocholitis: A Case Report

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This case report aims to discuss the occurrence of pylephlebitis as a rare complication following acute cholangitis.
Case report of a 47-year-old woman with right upper quadrant pain and fever
Investigative techniques included abdominal ultrasound and CT with contrast
Treatment involved IV antibiotics, fluid resuscitation, and planned surgical intervention.
Patient diagnosed with acute cholangitis complicated by pylephlebitis
Imaging confirmed biliary dilatation and left portal vein thrombosis
Emphasizes need for timely imaging and multidisciplinary management to prevent severe complications.

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Case report reveals pylephlebitis in cholangitis, highlighting severe complications in biliary stone disease.

Nbaya et al. (2026) studied this question.

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