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Pylephlebitis as a Complication of Diverticulitis: CT Imaging, Clinical Diagnosis, and Evidence-Based Management of a Rare but Life-Threatening Portal Venous Infection

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  An Expert Review for Medical Imaging Professionals, Clinicians, and Healthcare AI Researchers Keywords: Pylephlebitis, Portal Vein Thrombosis, Diverticulitis, CT Imaging, Portal Venous Gas, Mesenteric Venous Gas, Abdominal CT, Emergency Radiology, Diagnostic Imaging, Liver Infection, Sepsis, Healthcare AI, Medical Imaging, Clinical Decision Support, Artificial Intelligence in Radiology Introduction Among the infectious complications encountered in abdominal imaging, pylephlebitis remains one of the most challenging diagnoses because of its rarity, nonspecific clinical manifestations, and potentially devastating consequences. Although modern multidetector CT (MDCT) has dramatically improved diagnostic accuracy, delayed diagnosis continues to contribute to significant morbidity and mortality. Pylephlebitis, also known as suppurative thrombophlebitis of the portal venous system , represents septic thrombosis involving the portal vein and/or its tributaries. The disease typically d...
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Gastric Ascariasis on CT: An Unexpected Cause of Right Upper Quadrant Pain and the Rare Possibility of Cerebral Migration

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A Worm on CT? The Hidden Diagnosis Behind Persistent Right Upper Quadrant Pain Keywords:  Gastric ascariasis, Ascaris lumbricoides, abdominal CT, liver lesions, parasitic infection, intestinal helminths, emergency radiology, AI radiology, abdominal pain diagnosis, medical imaging AI How CT Imaging Revealed Gastric Ascariasis, Hepatic Involvement, and the Rare Risk of Brain Migration Clinical Hook A 32-year-old previously healthy woman arrived at the emergency department after nearly ten days of worsening right upper quadrant pain. The discomfort intensified during deep inspiration but did not radiate elsewhere. She also reported a persistent cough, reduced appetite, and generalized fatigue. Routine laboratory studies were largely unremarkable, making the diagnosis initially elusive. Physical examination demonstrated decreased breath sounds over the right lower lung and tenderness in the right upper abdomen. The turning point occurred when contrast-enhanced CT unexpectedly demon...
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