How are portal, pelvic, and other intra-abdominal thrombophlebitis treated?

Updated: Oct 05, 2021
  • Author: JE Robyn Hanna, MD, MS; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Antibiotic selection for intra-abdominal septic thrombosis requires coverage of Gram-negative organisms and anaerobes. The disease course of septic pelvic thrombophlebitis is improved with anticoagulation, [43] although there is no proven benefit in pylephlebitis. Surgical thrombectomies are again typically reserved for cases that fail conservative management.


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