Acta clinica Croatica, Vol. 60. No. 4., 2021.
Case report
https://doi.org/10.20471/acc.2021.60.04.27
Deep Septic Pelvic Thrombophlebitis – a Life-Threatening Condition in Postpartum Period
Srgeja Kozar
; Department of Anesthesiology and Intensive Therapy, Slovenj Gradec General Hospital, Slovenj Gradec, Slovenia
Helena Šavc
; Department of Gynecology and Obstetrics, Slovenj Gradec General Hospital, Slovenj Gradec, Slovenia
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
Thrombophlebitis, septic, postpartum; Septic embolus
Hrčak ID:
275556
URI
Publication date:
1.12.2021.
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