[Post-partum suppurating thrombophlebitis of the ovarian vein presenting with pleuropulmonary manifestations].
Following a normal delivery, a 22-year-old primigravida experienced fever resistant to antibiotic therapy. On the tenth post partum day, thoracic pain and chest X-ray were in favour of acute pneumonitis of left inferior lobe. Considering the extension to the right lung and a normal bronchic fibrescopy, a computed tomography (CT) was performed which showed a right ovarian vein thrombophlebitis, right minor subpleural opacities and left pneumopathy. The final diagnosis was post partum ovarian vein suppurated thrombophlebitis with pulmonary septic metastases from haematogenic diffusion. Post partum thrombophlebitis is a rare event with an incidence of 1 per 2,000 deliveries. Pulmonary inaugurating symptoms result rather from pulmonary embolism than from septic metastases. Post partum persisting and unexplained fever should be explored with abdominal CT-scan.
Leroy
B
B
Département d'anesthésie-réanimation chirurgicale 1, hôpital Roger-Salengro, Lille, France.
Charré
S
S
Taï
R B
RB
Barbieux
H
H
Wattrisse
G
G
D000328:Adult; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D010053:Ovary / Q000098:blood supply*; D010995:Pleural Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D049590:Postpartum Period; D012039:Regional Blood Flow / Q000502:physiology; D013924:Thrombophlebitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000502:physiology