Post partum ovarian vein thrombophlebitis presenting with pleuropulmonary symptoms

被引:5
作者
Leroy, B [1 ]
Charré, S [1 ]
Taï, RBH [1 ]
Barbieux, H [1 ]
Wattrisse, G [1 ]
机构
[1] Serv Anesthesie Reanimat Pavillon Paul Gelle, F-59100 Roubaix, France
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1999年 / 18卷 / 07期
关键词
post partum; ovarian vein thrombophlebitis;
D O I
10.1016/S0750-7658(00)88458-0
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Following a normal delivery, a 22-year-old primigravida experienced fever resistant to antibiotic therapy. On the tenth post partum day, thoracic pain and chest X-ray were in favour of acute pneumonitis of left inferior lobe. Considering the extension to the right lung and a normal bronchic fibrescopy, a computed tomography (CT) was performed which showed a right ovarian vein thrombophlebitis, right minor subpleural opacities and left pneumopathy. The final diagnosis was post partum ovarian vein suppurated thrombophlebitis with pulmonary septic metastases from haematogenic diffusion. Post partum thrombophlebitis is a rare event with an incidence of 1 per 2,000 deliveries. Pulmonary inaugurating symptoms result rather from pulmonary embolism than from septic metastases. Post partum persisting and unexplained fever should be explored with abdominal CT-scan. (C) 1999 Elsevier, Paris.
引用
收藏
页码:783 / 786
页数:4
相关论文
共 9 条
[1]   PUERPERAL OVARIAN VEIN THROMBOPHLEBITIS - SYNDROME [J].
BROWN, TK ;
MUNSICK, RA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1971, 109 (02) :263-&
[2]  
COLAU JC, 1995, ANESTHESIE ANALGESIA, P327
[3]  
Dunnihoo D R, 1991, Obstet Gynecol Surv, V46, P415, DOI 10.1097/00006254-199107000-00002
[4]  
Gastillon J M, 1993, Rev Fr Gynecol Obstet, V88, P509
[5]   POSTPARTUM OVARIAN VEINS THROMBOPHLEBITIS [J].
GOVAERTS, I ;
BRAUDE, P ;
DEPAEPE, J ;
KIRKPATRICK, C .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1994, 57 (01) :56-58
[6]   HEPARIN THERAPY IN SEPTIC PELVIC THROMBOPHLEBITIS - STUDY OF 46 CASES [J].
JOSEY, WE ;
STAGGERS, SR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1974, 120 (02) :228-233
[7]  
OVTCHINNIKOFF S, 1993, J RADIOL, V74, P301
[8]  
TRENDELENBURG F, 1902, MUNCHEN MED WOCHEN, V8, P533
[9]   POSTPARTUM OVARIAN VEIN-THROMBOSIS AFTER VAGINAL DELIVERY - A REPORT OF 11 CASES [J].
WITLIN, AG ;
SIBAI, BM .
OBSTETRICS AND GYNECOLOGY, 1995, 85 (05) :775-780