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Septic pelvic thrombophlebitis: an update.

M B Cohen, M L Pernoll, C M Gevirtz

    Obstetrics and Gynecology
    |July 1, 1983
    PubMed
    Summary
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    Septic pelvic thrombophlebitis, a serious pelvic infection, is now rarely seen following gynecologic procedures. This study reviews its historical management and presents a current management plan.

    Area of Science:

    • Obstetrics and Gynecology
    • Infectious Diseases
    • Vascular Surgery

    Background:

    • Septic pelvic thrombophlebitis (SPT) is a rare but serious complication of pelvic infections, often following obstetric or gynecologic procedures.
    • Historically, SPT posed significant management challenges in obstetrics and gynecology.
    • Tulane University's Department of Obstetrics and Gynecology has a historical interest in SPT management.

    Observation:

    • A retrospective case evaluation and prospective surveillance were conducted to assess the current incidence and management of SPT.
    • The study observed a significant decline in the occurrence of septic pelvic thrombophlebitis.
    • Three illustrative cases of SPT were included in the evaluation.

    Findings:

    • The incidence of septic pelvic thrombophlebitis has dramatically decreased in contemporary medical practice.

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  • Potential factors contributing to this decline include advancements in infection control and antibiotic therapy.
  • A contemporary management plan for SPT is proposed based on the study's observations.

    • Implications:

    • The findings suggest that SPT is an uncommon condition today, necessitating a re-evaluation of its management protocols.
    • Understanding the reasons for its decline can inform preventative strategies and treatment approaches.
    • This research provides valuable insights for obstetricians, gynecologists, and infectious disease specialists managing pelvic infections.