1Department of Anesthesiology and Intensive Therapy, Slovenj Gradec General Hospital, Slovenj Gradec, Slovenia; 2Department of Gynecology and Obstetrics, Slovenj Gradec General Hospital, Slovenj Gradec, Slovenia.
Acta Clin Croat. 2021 Dec;60(4):773-776. doi: 10.20471/acc.2021.60.04.27.
Deep septic pelvic thrombophlebitis is a rare but potentially devastating complication in the puerperium. Early diagnosis and aggressive treatment of this postpartum complication is essential. We report a case of a 23-year-old multipara, who presented with persistent high fever and abdominal pain two days after delivery. Diagnosis of deep septic pelvic thrombophlebitis was suspected and confirmed by using contrast-enhanced computerized tomography. Upon admission in the intensive care unit, she developed shortness of breath together with hypoxemia, which was attributed to septic pulmonary emboli. group A was cultured from cervical swab. Treatment consisted of broad spectrum antibiotic therapy and low molecular weight heparin. She was dismissed for home care symptom-free fourteen days after delivery and referred to hematologist to diagnose the possible causes of thrombophilia.
深部脓毒性盆腔血栓性静脉炎是产褥期罕见但潜在的严重并发症。早期诊断和积极治疗这种产后并发症至关重要。我们报告了一例 23 岁多产妇，她在分娩后两天出现持续高热和腹痛。怀疑诊断为深部脓毒性盆腔血栓性静脉炎，并通过增强计算机断层扫描得到证实。她入住重症监护病房时，出现呼吸急促和低氧血症，归因于脓毒性肺栓塞。宫颈拭子培养出 A 组链球菌。治疗包括广谱抗生素治疗和低分子肝素。她在分娩后 14 天无症状出院，回家护理，并转介给血液科医生以诊断血栓形成倾向的可能原因。
