Massive septic pelvic thrombophlebitis
Magee, K.P.; Blanco, J.D.; Graham, J.M.
Obstetrics and Gynecology 82(4 Pt 2(Suppl): 662-664
1993
ISSN/ISBN: 0029-7844 PMID: 8378005 Document Number: 411138
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. 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. Septic pelvic thrombophlebitis is not limited to the pelvis and lower abdominal vessels.