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Case Reports
. 2021 Dec;60(4):773-776.
doi: 10.20471/acc.2021.60.04.27.

DEEP SEPTIC PELVIC THROMBOPHLEBITIS - A LIFE-THREATENING CONDITION IN POSTPARTUM PERIOD

Sergeja Kozar  1 , Helena Šavc  1
Affiliations
Case Reports

DEEP SEPTIC PELVIC THROMBOPHLEBITIS - A LIFE-THREATENING CONDITION IN POSTPARTUM PERIOD

Sergeja Kozar et al. Acta Clin Croat. 2021 Dec.

Abstract

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.

Keywords: Septic embolus; Thrombophlebitis, septic, postpartum.

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Fig. 1
Fig. 1
Presence of thrombus in one of the right pelvic veins.
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