Septic pelvic thrombophlebitis: an unusual treatable postpartum complication

J Keogh, John Keogh, Dermot MacDonald, D Macdonald, P. Kelehan
The Australian & New Zealand journal of obstetrics & gynaecology · 1993 · vol. 33(2) , pp. 204–207 · doi:10.1111/j.1479-828x.1993.tb02395.x · PMID:8216128 · W2094617511
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This paper describes septic pelvic thrombophlebitis, a serious postpartum complication characterized by fever and pain, noting that contrast-enhanced CT scanning and heparin therapy improve diagnosis while conservative management yields better outcomes than surgery.

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Abstract

Septic pelvic thrombophlebitis is an uncommon but serious postpartum complication occurring in about 1 in 2,000 pregnancies, characterized by pain, antibiotic resistant fever and tachycardia. In about 50% of cases a pelvic mass is present which is usually right-sided (especially when the ovarian vein is involved). It is estimated to cause 18 maternal deaths per million pregnancies in the United States. Use of contrast enhanced CT scanning and a trial of heparin therapy increases the diagnostic certainty. It is particularly important because surgical management which may otherwise be suggested because of a spiking fever and a mass seems to be associated with a poorer prognosis than does conservative management.

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MeSH descriptors

Ovary Puerperal Disorders Puerperal Infection Streptococcal Infections Streptococcus pyogenes Thrombosis Adult Ampicillin Ampicillin Female Humans Ovary Puerperal Disorders Puerperal Disorders Puerperal Infection Puerperal Infection Streptococcal Infections Streptococcal Infections Thrombosis

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SciLite annotations

chemicals 1
heparin

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