1/3. An "enigmatic" cause of back pain following regional anaesthesia for caesarean section: septic pelvic thrombophlebitis.A case of septic pelvic thrombophlebitis is reported. This presented as back pain and leg weakness 18 days after regional anaesthesia for caesarean section. The patient was referred to the Department of Anaesthesia. Obstetric review of the patient at the request of the anaesthetist led to a CT scan that demonstrated the diagnosis. This condition may lead to fatal "on-table" pulmonary embolus if the thrombosed vein is handled during an exploratory laparotomy. Treatment should be conservative with antibiotics and anticoagulation. This case illustrates the need for awareness amongst anaesthetists of possible surgical causes for morbidity that may initially appear anaesthetic-related.- - - - - - - - - - ranking = 1keywords = thrombophlebitis (Clic here for more details about this article) |
2/3. Septic pelvic thrombophlebitis: an update.Septic pelvic thrombophlebitis is the result of serious pelvic infection usually following obstetric or gynecologic procedures. The management of this condition is of historical interest to the department of obstetrics and gynecology at Tulane, and therefore a retrospective case evaluation and a prospective surveillance were undertaken. This study indicates that septic pelvic thrombophlebitis is seen very rarely today. Possible reasons for the decline in the incidence of this problem and a management plan are presented. Three cases are included.- - - - - - - - - - ranking = 1.2keywords = thrombophlebitis (Clic here for more details about this article) |
3/3. Localized amniotic fluid embolism presenting as ovarian vein thrombosis and refractory postoperative fever.amniotic fluid embolism is a rare, usually fatal obstetric emergency. This is a case of a documented puerperal embolization presenting as an isolated thrombosis of the right ovarian vein. Neither the classic cardiopulmonary decompensation nor the defibrinogenation syndrome developed in our subject. To our knowledge, this is the first reported case of an isolated amniotic fluid embolism precipitating ovarian vein thrombosis. Differentiation from septic pelvic thrombophlebitis without histologic examination of an excised surgical specimen is impossible. Whereas surgical intervention is usually not required in most cases of septic pelvic vein thrombophlebitis, ovarian vein resection and unilateral adnexectomy were necessary in our patient.- - - - - - - - - - ranking = 0.4keywords = thrombophlebitis (Clic here for more details about this article) |