Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica

Siomara Aransuzú Chávez-Sánchez; Rubén Hessen Escobar-Montes; Álvaro Bellido-Caparó; Fernando Alonso Mejía-Cordero; Carmen Anita Del Villar-Alarcón; José Antonio Chávez-Peche

doi:10.47892/rgp.2026.461.2142

Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica

Translated title of the contribution: Cholestatic jaundice revealing pylephlebitis associated with mesenteric venous thrombosis

Siomara Aransuzú Chávez-Sánchez
, Rubén Hessen Escobar-Montes
, Álvaro Bellido-Caparó
, Fernando Alonso Mejía-Cordero
, Carmen Anita Del Villar-Alarcón
, José Antonio Chávez-Peche

Clínica San Felipe
Universidad Peruana Cayetano Heredia

Research output: Contribution to journal › Article › peer-review

Abstract

Mesenteric venous thrombosis is an uncommon but highly morbid condition with nonspecific clinical manifestations that may delay early diagnosis. We report the case of a 65-year-old man with a history of venous insufficiency and chronic smoking, who presented with abdominal pain, jaundice, and fever. Imaging revealed extensive thrombosis of the superior mesenteric vein, pylephlebitis, and heterozygous C677T MTHFR mutation. The patient was treated with antibiotics, anticoagulation, and transhepatic portal thrombectomy minimally invasive with thrombolysis, showing favorable clinical and biochemical recovery. This case highlights the importance of considering both infectious and prothrombotic conditions in patients with abdominal pain and jaundice, emphasizing the role of a multidisciplinary approach.

Translated title of the contribution	Cholestatic jaundice revealing pylephlebitis associated with mesenteric venous thrombosis
Original language	Spanish
Pages (from-to)	88-91
Number of pages	4
Journal	Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
Volume	46
Issue number	1
DOIs	https://doi.org/10.47892/rgp.2026.461.2142
State	Published - 1 Jan 2026
Externally published	Yes

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Chávez-Sánchez, S. A., Escobar-Montes, R. H., Bellido-Caparó, Á., Mejía-Cordero, F. A., Del Villar-Alarcón, C. A., & Chávez-Peche, J. A. (2026). Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica. Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, 46(1), 88-91. https://doi.org/10.47892/rgp.2026.461.2142

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title = "Ictericia colest{\'a}sica como manifestaci{\'o}n inicial de pileflebitis asociada a trombosis venosa mesent{\'e}rica",

abstract = "Mesenteric venous thrombosis is an uncommon but highly morbid condition with nonspecific clinical manifestations that may delay early diagnosis. We report the case of a 65-year-old man with a history of venous insufficiency and chronic smoking, who presented with abdominal pain, jaundice, and fever. Imaging revealed extensive thrombosis of the superior mesenteric vein, pylephlebitis, and heterozygous C677T MTHFR mutation. The patient was treated with antibiotics, anticoagulation, and transhepatic portal thrombectomy minimally invasive with thrombolysis, showing favorable clinical and biochemical recovery. This case highlights the importance of considering both infectious and prothrombotic conditions in patients with abdominal pain and jaundice, emphasizing the role of a multidisciplinary approach.",

author = "Ch{\'a}vez-S{\'a}nchez, \{Siomara Aransuz{\'u}\} and Escobar-Montes, \{Rub{\'e}n Hessen\} and {\'A}lvaro Bellido-Capar{\'o} and Mej{\'i}a-Cordero, \{Fernando Alonso\} and \{Del Villar-Alarc{\'o}n\}, \{Carmen Anita\} and Ch{\'a}vez-Peche, \{Jos{\'e} Antonio\}",

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month = jan,

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doi = "10.47892/rgp.2026.461.2142",

language = "Espa{\~n}ol",

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Chávez-Sánchez, SA, Escobar-Montes, RH, Bellido-Caparó, Á, Mejía-Cordero, FA, Del Villar-Alarcón, CA & Chávez-Peche, JA 2026, 'Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica', Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, vol. 46, no. 1, pp. 88-91. https://doi.org/10.47892/rgp.2026.461.2142

Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica. / Chávez-Sánchez, Siomara Aransuzú; Escobar-Montes, Rubén Hessen; Bellido-Caparó, Álvaro et al.
In: Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú, Vol. 46, No. 1, 01.01.2026, p. 88-91.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica

AU - Chávez-Sánchez, Siomara Aransuzú

AU - Escobar-Montes, Rubén Hessen

AU - Bellido-Caparó, Álvaro

AU - Mejía-Cordero, Fernando Alonso

AU - Del Villar-Alarcón, Carmen Anita

AU - Chávez-Peche, José Antonio

PY - 2026/1/1

Y1 - 2026/1/1

N2 - Mesenteric venous thrombosis is an uncommon but highly morbid condition with nonspecific clinical manifestations that may delay early diagnosis. We report the case of a 65-year-old man with a history of venous insufficiency and chronic smoking, who presented with abdominal pain, jaundice, and fever. Imaging revealed extensive thrombosis of the superior mesenteric vein, pylephlebitis, and heterozygous C677T MTHFR mutation. The patient was treated with antibiotics, anticoagulation, and transhepatic portal thrombectomy minimally invasive with thrombolysis, showing favorable clinical and biochemical recovery. This case highlights the importance of considering both infectious and prothrombotic conditions in patients with abdominal pain and jaundice, emphasizing the role of a multidisciplinary approach.

AB - Mesenteric venous thrombosis is an uncommon but highly morbid condition with nonspecific clinical manifestations that may delay early diagnosis. We report the case of a 65-year-old man with a history of venous insufficiency and chronic smoking, who presented with abdominal pain, jaundice, and fever. Imaging revealed extensive thrombosis of the superior mesenteric vein, pylephlebitis, and heterozygous C677T MTHFR mutation. The patient was treated with antibiotics, anticoagulation, and transhepatic portal thrombectomy minimally invasive with thrombolysis, showing favorable clinical and biochemical recovery. This case highlights the importance of considering both infectious and prothrombotic conditions in patients with abdominal pain and jaundice, emphasizing the role of a multidisciplinary approach.

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U2 - 10.47892/rgp.2026.461.2142

DO - 10.47892/rgp.2026.461.2142

M3 - Artículo

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AN - SCOPUS:105036905454

SN - 1022-5129

VL - 46

SP - 88

EP - 91

JO - Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú

JF - Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú

IS - 1

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Chávez-Sánchez SA, Escobar-Montes RH, Bellido-Caparó Á, Mejía-Cordero FA, Del Villar-Alarcón CA, Chávez-Peche JA. Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica. Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú. 2026 Jan 1;46(1):88-91. doi: 10.47892/rgp.2026.461.2142

Ictericia colestásica como manifestación inicial de pileflebitis asociada a trombosis venosa mesentérica

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