For example, STP of the pelvic veins may result from endometritis, pelvic inflammatory disease, intra-abdominal infections, abdominal surgery, childbirth, or septic abortion. The treatment of peripheral septic thrombophlebitis remains controversial. Septic pelvic vein thrombophlebitis. Septic thrombophlebitis is a condition that is characterized by venous thrombosis, inflammation and bacteremia. The entity had a high incidence and mortality during this period of time, and a surgical therapeutic approach was the treatment of choice. Along with abdominal wound infection and pelvic abscess, septic pelvic vein thrombophlebitis is one of the most serious complications of pelvic surgery. Septic pelvic thrombophlebits is a rare complication of normal vaginal delivery. Clinical signs include: fever pain on palpation of uterus midline lower abdominal pain malodorous lochia (vaginal discharge) tachycardia Fever. 1 The incidence of septic pelvic thrombophlebitis has been reported to be between 1 in 600 to 1 in 2000 deliveries. Septic pelvic thrombophlebitis and ovarian vein thrombophlebitis are seen principally as a complication of puerperal uterine infections, such as endometritis and septic abortion. The affected vein might be near the surface of your skin (superficial thrombophlebitis) or deep within a muscle (deep vein thrombosis, or DVT). With the use of computed tomography infection-related pelvic phlebitis can now be confirmed, and this study was designed to determine its incidence after delivery. Onset within 3-5 days of delivery for DPST, and within 7 days of delivery for OVT; Postpartum Fever is often the only presenting symptom in Deep Septic Pelvic Thrombophlebitis (DSPT); Fever is often refractory to antibiotics; Abdominal Pain. Often absent for Deep Septic Pelvic Thrombophlebitis (DSPT) Introduction. Lemierre syndrome, which is thrombophlebitis of the internal jugular vein, is most often caused by pharyngitis but may occur secondary to a dental infection. Objective: Before the availability of modern imaging studies the diagnosis of septic pelvic thrombophlebitis causing prolonged puerperal fever was difficult to confirm without surgical exploration. Thrombophlebitis (throm-boe-fluh-BY-tis) is an inflammatory process that causes a blood clot to form and block one or more veins, usually in your legs. Beside appendicitis, colonic diverticulitis, inflammatory bowel diseases, bowel perforation, pancreatitis or cholangitis are potential triggers [ 1 ]. Treatment of pelvic vein thrombophlebitis requires administration of broad spectrum antibiotics, intravenous heparin, and, in selected cases, ovarian vein and vena cava ligation. 2 There is a markedly higher incidence after Cesarean section than after vaginal delivery. Septic pelvic thrombophlebitis (SPT) is a well-recognized but uncommon puerperal complication (about 1 in 3000 deliveries). Since then, the diagnosis, incidence, and management of the entity evolved. Rarely, pelvic phlebitis may result from severe pelvic inflammatory disease or progressive infection of the urinary tract. It occurs in approximately 0.5–1% of patients having major procedures such as cesarean delivery or … 1. Septic pelvic thrombophlebitis (SPT) was initially diagnosed and described in the late 1800's. Septic pelvic thrombophlebitis (SPT) was initially diagnosed and described in the late 1800’s. ... Pelvic veins: Resulting from uterine infections such as endometritis or septic abortion. 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