Massive septic pelvic thrombophlebitis.
BACKGROUND
Septic pelvic thrombophlebitis is a major complication of endometritis. The thrombi commonly occur in the uterine and/or ovarian veins and may extend into the inferior vena cava.


METHODS
Following vaginal delivery, a 19-year-old woman, gravida 2, developed postpartum septic pelvic thrombophlebitis extending from the right ovarian vein up to the diaphragm and down to the femoral vein. The patient was treated successfully with heparin and antibiotics, and eventually was discharged on oral anticoagulants for an extended period. Follow-up revealed complete resolution of the thrombus.


CONCLUSIONS
Septic pelvic thrombophlebitis is not limited to the pelvis and lower abdominal vessels.
Magee
K P
KP
Department of Obstetrics, Gynecology, and Reproductive Sciences, Lyndon B. Johnson General Hospital, University of Texas Medical School at Houston.
Blanco
J D
JD
Graham
J M
JM
D000328:Adult; D004716:Endometritis / Q000150:complications* / Q000382:microbiology; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D010388:Pelvis; D011645:Puerperal Infection; D013924:Thrombophlebitis / Q000209:etiology*