title: Pelvic vein thrombophlebitis: diagnostic dilemma and therapeutic challenge.
abstract: Pelvic vein thrombophlebitis is an unusual, but extremely serious, complication of pelvic surgery. It occurs in approximately 0.5 to 1 per cent of patients who develop operative site infections. It may present as two distinct clinical syndromes: acute ovarian vein thrombosis and diffuse thrombosis of multiple small pelvic vessels. Accurate diagnosis is hampered by the absence of a reliable, specific, and noninvasive test for the disorder. Treatment of pelvic vein thrombophlebitis requires administration of broad spectrum antibiotics, intravenous heparin, and, in selected cases, ovarian vein and vena cava ligation.
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001779:Blood Coagulation Factors; D001783:Blood Flow Velocity; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply; D010388:Pelvis / Q000098:blood supply*; D013924:Thrombophlebitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014680:Veins / Q000473:pathology
chemical_list: D000925:Anticoagulants; D001779:Blood Coagulation Factors