MASSIVE SEPTIC PELVIC THROMBOPHLEBITIS

Background: Septic pelvic thrombophlebitis is a major complication of endometritis. The thrombi commonly occur in the uterine and/or ovarian veins and may extend into the inferior vena cava. Case: Following vag inal delivery, a 19-year-old woman, gravida 2, developed postpartum se ptic pelvic thrombophlebitis extending from the right ovarian vein up to the diaphragm and down to the femoral vein. The patient was treated successfully with heparin and antibiotics, and eventually was dischar ged on oral anticoagulants for an extended period. Follow-up revealed complete resolution of the thrombus. Conclusion: Septic pelvic thrombo phlebitis is not limited to the pelvis and lower abdominal vessels.