Deep Septic Pelvic Thrombophlebitis – a Life-Threatening Condition in Postpartum Period
Deep septic pelvic thrombophlebitis is a rare but potentially devastating complication in the puerperium. Early diagnosis and aggressive treatment of this postpartum complication is essential. We report a case of a 23-year-old multipara, who presented with persistent high fever and abdominal pain...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/399272 |
| Summary: | Deep septic pelvic thrombophlebitis is a rare but potentially devastating complication
in the puerperium. Early diagnosis and aggressive treatment of this postpartum complication is
essential. We report a case of a 23-year-old multipara, who presented with persistent high fever and
abdominal pain two days after delivery. Diagnosis of deep septic pelvic thrombophlebitis was suspected
and confirmed by using contrast-enhanced computerized tomography. Upon admission in the
intensive care unit, she developed shortness of breath together with hypoxemia, which was attributed
to septic pulmonary emboli. Streptococcus pyogenes group A was cultured from cervical swab. Treatment
consisted of broad spectrum antibiotic therapy and low molecular weight heparin. She was dismissed
for home care symptom-free fourteen days after delivery and referred to hematologist to diagnose the
possible causes of thrombophilia. |
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| ISSN: | 0353-9466 1333-9451 |