Septic pulmonary embolism caused by postpartum ovarian vein thrombophlebitis: A case report.
| Autor: | Pumtako M; Somdej Phrachao Taksin Maharat Hospital, 16/2 Phahonyothin Road, Rahaeng Subdistrict, Mueang Tak District, Tak 63000, Thailand., Pumtako C; University of Glasgow, G12 8QQ Glasgow, United Kingdom.; Chulabhorn Royal Academy, 906 Thung Song Hong, Lak Si, Bangkok, 10210, Thailand. |
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| Jazyk: | angličtina |
| Zdroj: | Case reports in women's health [Case Rep Womens Health] 2022 Aug 19; Vol. 36, pp. e00445. Date of Electronic Publication: 2022 Aug 19 (Print Publication: 2022). |
| DOI: | 10.1016/j.crwh.2022.e00445 |
| Abstrakt: | Objective: To report on the clinical considerations for and management of ovarian vein thrombophlebitis (OVT). OVT is an element of septic pelvic thrombophlebitis (SPT). OVT is a relatively uncommon cause of postpartum fever. It manifests in approximately 0.01-0.02% of vaginal deliveries and 0.1% of caesarean births. A delay in diagnosis and treatment can lead to potentially fatal complications. Case Presentation: A 38-year-old woman presented to the hospital with a fever and dyspnoea. She had had a spontaneous home birth and developed a low-grade fever after delivery. The infant died 1 h after birth due to an unknown cause. After 72 h of intravenous antibiotic treatment, the patient's condition did not improve. Postpartum endometritis with pneumonia was suspected. OVT was also suspected. The patient received broad-spectrum antibiotics and anticoagulant therapy. After 7 days of treatment, repeat computed tomography scan revealed that the condition of the lungs and uterus had improved. Conclusion: Puerperal fever and septic pulmonary embolism may be signs of OVT. Thus, a diagnosis of OVT should be considered when a patient presents with prolonged fever postpartum and is not responsive to standard endometritis therapy. Moreover, anticoagulant therapy can confirm the diagnosis if the fever subsides following broad-spectrum antibiotic treatment. (© 2022 The Authors.) |
| Databáze: | MEDLINE |
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