Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report
| Autor: | Rosário Botelho, José Pinto de Almeida, Ana Beatriz Godinho, Margarida da Silva Cunha |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Fever medicine.drug_class medicine.medical_treatment Antibiotics lcsh:Surgery lcsh:Gynecology and obstetrics Article 03 medical and health sciences 0302 clinical medicine Medicine Caesarean section 030212 general & internal medicine lcsh:RG1-991 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Postpartum period lcsh:RD1-811 medicine.disease Surgery Septic pelvic thrombophlebitis Endometritis Differential diagnosis medicine.symptom Pelvic septic thrombophlebitis business Complication |
| Zdroj: | Case Reports in Women's Health, Vol 17, Iss, Pp 5-7 (2018) Case Reports in Women's Health |
| ISSN: | 2214-9112 |
| DOI: | 10.1016/j.crwh.2018.02.004 |
| Popis: | Septic pelvic thrombophlebitis is a rare puerperal complication. It is an important differential diagnosis of postpartum fever and abdominal pain and although the condition is well known its diagnosis can be challenging. We report a case of a 41-year-old woman with fever and right abdominal pain three days after an uncomplicated caesarean delivery. Clinical, laboratory and imaging exams were unremarkable and the patient was treated for endometritis. In the absence of improvement despite an antibiotic adjustment, a clinical diagnosis of septic pelvic thrombophlebitis was made, and the patient presented a good response to anticoagulation in conjunction with broad-spectrum antibiotic therapy. Highlights • Caesarean delivery is a risk factor for septic pelvic thrombophlebitis (SPT). • SPT is frequently misdiagnosed. • SPT resolves after systemic anticoagulation. • Clinical suspicion is the most important for the diagnosis. |
| Databáze: | OpenAIRE |
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