Pylephlebitis presenting as spontaneous coronary sinus thrombosis: a case report

Journal of Medical Case Reports
Michael A Hart, Mengistu A Simegn

Abstract

Coronary sinus thrombosis is a rare phenomenon. When identified, it most often is a complication of infective endocarditis or procedural intervention. We present an unusual and unreported case of spontaneous coronary sinus thrombosis as embolic sequela of an intra-abdominal infectious process. We report a case of a 61-year-old white woman with a history of end-stage renal disease on hemodialysis, paroxysmal atrial fibrillation not on long-term systemic anticoagulation, and history of recurrent diverticulitis that presented with acute onset abdominal pain and nausea. Computed tomography of her abdomen and pelvis with intravenous contrast was negative for acute intra-abdominal pathology, but incidentally identified an oval-shaped filling defect at the ostium of the coronary sinus suspicious for thrombus or mass which was confirmed on subsequent transesophageal echocardiogram. In light of her concomitant transaminitis but otherwise negative workup, the mass was believed to be thromboembolic in nature, originating within the hepatic venous system as a manifestation of recurrent diverticulitis with associated pylephlebitis and ultimately lodging into the coronary sinus. With the newly detected thrombus and history of paroxysmal atri...Continue Reading

References

May 1, 1996·Southern Medical Journal·E K RamsaranD Miller
Nov 1, 1996·The Annals of Thoracic Surgery·V N BapatA G Tendolkar
Jan 20, 2009·Anesthesia and Analgesia·Jonathan K FrogelBenjamin A Kohl
Oct 24, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hsuan-Li Huang, Kuan-Hung Yeh
Apr 27, 2016·Journal of Thrombosis and Thrombolysis·Mariana FloriaIleana Antohe

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Citations

Jun 19, 2021·World Journal of Clinical Cases·Hui-Jeong Hwang, Sung-Wook Kang

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