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pelvic thrombophlebitis

Massimo Tonolini, Anna Maria Ierardi, Gianpaolo Carrafiello, Domenico Laganà
The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC)...
April 19, 2018: Insights Into Imaging
Margarida da Silva Cunha, Ana Beatriz Godinho, Rosário Botelho, José Pinto de Almeida
Septic pelvic thrombophlebitis is a rare puerperal complication. It is an important differential diagnosis of postpartum fever and abdominal pain and although the condition is well known its diagnosis can be challenging. We report a case of a 41-year-old woman with fever and right abdominal pain three days after an uncomplicated caesarean delivery. Clinical, laboratory and imaging exams were unremarkable and the patient was treated for endometritis. In the absence of improvement despite an antibiotic adjustment, a clinical diagnosis of septic pelvic thrombophlebitis was made, and the patient presented a good response to anticoagulation in conjunction with broad-spectrum antibiotic therapy...
January 2018: Case Reports in Women's Health
Maria Pittaka, Eleni Fotiou, Margarita Dionysiou, Petros Polyviou, Eleni Eracleous, Demetris Andreopoulos, Vassilios P Vassiliou
Penile Mondor's disease is a rare condition characterized by sclerosing thrombophlebitis of the superficial dorsal penile vein. Usually its causes are benign, but it is also evident in cancer patients. We report the case of a 62-year-old man with a cT4 anal cancer (infiltration of corpora spongiosa and penile bulb), associated with extensive loco-regional lymphadenopathy, who developed painful lumps in the midline of the anterior penile surface while receiving radical chemoradiotherapy. Physical examination revealed two palpable cord-like swellings located 2 cm from the pubic symphysis...
August 2017: Oxford Medical Case Reports
Sarah K Dotters-Katz, Marcela C Smid, Matthew R Grace, Jennifer L Thompson, R Phillips Heine, Tracy Manuck
No abstract text is available yet for this article.
September 2017: American Journal of Perinatology
Sheeba Marwah, Sonam R Topden, Manjula Sharma, Ritin Mohindra, Pratima Mittal
INTRODUCTION: Even decades after the development of effective low-cost antibiotics, sepsis persists as the foremost cause of preventable maternal death worldwide. In developing countries like India, where the paramount impediment to intervention is poverty, maternal mortality due to sepsis is a continuing representation of maternal health inequality. AIM: To determine the incidence, risk factors and mortality in women presenting with puerperal sepsis in a tertiary care health facility in India...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
Hélène Pol, Paul Guerby, Ludwig Duazo Cassin, Elodie Chantalat, Amanda Tournemire, Martin Baujat, Lydie Porte, Olivier Parant, Fabien Vidal
No abstract text is available yet for this article.
July 2017: Journal of Lower Genital Tract Disease
Zerwa Farooq, Brooke Devenney-Cakir
Viridans group streptococcus is an infrequent cause of osteomyelitis that is found in association with infective endocarditis. Only a few studies report viridans osteomyelitis in the absence of endocarditis. Vertebral pyogenic osteomyelitis can sometimes be complicated by psoas or paraspinal abscesses. These intra-abdominal and/or pelvic collections can very rarely result in venous thrombosis. A paraspinal abscess resulting in inferior vena cava (IVC) thrombosis has only been reported once in the literature...
December 2016: Radiology case reports
Margarita V Revzin, Mahan Mathur, Haatal B Dave, Matthew L Macer, Michael Spektor
Pelvic inflammatory disease (PID) is a common medical problem, with almost 1 million cases diagnosed annually. Historically, PID has been a clinical diagnosis supplemented with the findings from ultrasonography (US) or magnetic resonance (MR) imaging. However, the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. Given the nonspecific clinical manifestations, computed tomography (CT) is commonly the first imaging examination performed...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
E Marsaudon, C Legal, D Gayoux, O Weber
INTRODUCTION: Mondor's disease is a rare superficial thrombophlebitis, historically involving the thoracic venous system of women. However, it can occur in both gender and all over the skin. CASE REPORT: We report a 40-year-old man with type one diabetes who presented with a thrombosis of the superficial dorsal vein of the penis that he treated as a fungal infection. Treatment with non-steroidal anti-inflammatory drugs and low molecular weight heparin contributed to a favorable outcome in 2 weeks...
September 2016: La Revue de Médecine Interne
Umut Hasan Kantarcı, Alper Dirik, Yasemin Erdem Öztürk, İlker Kiriş, Mahmut Duymuş
BACKGROUND: Penile involvement is a rare, self-limiting, benign genital condition. In Mondor's disease the underlying pathology is thrombophlebitis of a superficial vein. CASE REPORT: In this case report, we want to present a rare Penile Mondor's disease with literature review. CONCLUSIONS: While the diagnosis can be based on history, physical examination and Doppler ultrasound, the necessity of both MRI, MR angiography and intracavernosal vasoactive agent administration can be questioned...
2016: Polish Journal of Radiology
I Trifonov, J Uzunova, T Gavrilova
Ovarian vein thrombosis (OVT) is a rare, but serious condition that affects mostly postpartum women but may also be associated with pelvic inflammatory disease, malignancies and pelvic surgical procedures. Concerning ovarian vein thrombosis in earlier stages of pregnancy there are only very few case reports. The authors consider this rare but potentially deadly disease and describe the clinical case study.
2014: Akusherstvo i Ginekologii︠a︡
Camran Nezhat, Jillian Main, Chandhana Paka, Rose Soliemannjad, M Ali Parsa
BACKGROUND/OBJECTIVES: It has been shown that major gynecologic laparoscopy is safe in hospital ambulatory settings, but there is little data to suggest the same in freestanding ambulatory surgery centers. This study evaluates the safety and efficacy of advanced gynecologic laparoscopic surgery using a fast-track model in freestanding ambulatory surgery centers and discusses our institution protocols. METHODS: Retrospective, multicenter review was conducted of major gynecologic surgeries from August 1st 2010 to September 30th 2011 in 3 surgical centers with one primary surgeon...
July 2014: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Sherelle L Laifer-Narin, Ellie Kwak, Hyonah Kim, Elizabeth M Hecht, Jeffrey H Newhouse
Postpartum and posttermination complications are common causes of morbidity and mortality in women of reproductive age. These complications can be broadly categorized into vascular, infectious, surgical, and neoplastic etiologies, or are due to ectopic implantation of placental or endometrial tissue. Causes of postpartum vascular complications include retained products of conception, arteriovenous malformation, and pseudoaneurysm. Infectious entities include endometritis, abscess, wound cellulitis, and pelvic septic thrombophlebitis...
November 2014: Current Problems in Diagnostic Radiology
Verena Limperger, Ulrich C Klostermeier, Gili Kenet, Susanne Holzhauer, Martine Alhenc Gelas, Ulrich Finckh, Ralf Junker, Christine Heller, Barbara Zieger, Karin Kurnik, Ralf Knöfler, Rolf Mesters, Susan Halimeh, Ulrike Nowak-Göttl
Venous thromboembolism [TE] is a multifactorial disease and protein C deficiency [PCD] constitutes a major risk factor. In the present study the prevalence of PCD and the clinical presentation at TE onset, including neonatal purpura fulminans, in a cohort of children are reported. In 367 unselected children (0·1-19 years) recruited between July 1996 and December 2013, a comprehensive thrombophilia screening was performed along with recording of anamnestic data. Twenty-five of 338 children (7·4%) had PCD. Mean age at first TE onset was 10 years (range 0·1-18)...
November 2014: British Journal of Haematology
F-P Pfabe
Unilateral leg swelling is most frequently the result of venous hypertension based on deep vein thrombosis. The suspicion of a pelvic vein thrombosis requires direct thrombus detection and exclusion of the spectrum of differential diagnoses, especially after pelvic surgery. In this paper we report a case of unilateral leg swelling with complex arteriovenous vascular pathology after minimally invasive disc surgery. The differential diagnosis and interventional therapy are discussed.
May 2014: Der Internist
C Lamy, S Zuily, E Perdriolle, E Gauchotte, S Villeroy-de-Galhau, M-O Delaporte, D Wahl, O Morel, P Judlin
Post-partum endometritis are frequent and account for the fifth cause of maternal death. This disease is preventable and effective treatments are available. Streptococcus agalactiae is the primary pathogen implicated. The clinical diagnosis is usually easy and involves pelvic pain, fever and abnormal lochia. Whenever antibiotic treatment provides no clinical improvement, or in case of doubt on the vacuity of the uterus, an ultrasound exam must be performed. Likewise, a CT scan or a MRI will be performed in case of persistent fever in search of a pelvic abscess requiring a drainage, or of a pelvic thrombophlebitis...
December 2012: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
C Lamy, C Mezan de Malartic, E Perdriolle, E Gauchotte, S Villeroy-de-Galhau, M-O Delaporte, O Morel, P Judlin
In countries where induced abortions are legal and medically supervised, the frequency of post-abortion infections is low and maternal death is infrequent. Nevertheless, short and long term consequences of post-abortion infections must be addressed. Sexually transmitted pathogens are frequently in cause here. Risk factors include in particular young age (less than 24 years), low socioeconomic level, late pregnancy, nulliparity, and history of previous untreated pelvic inflammatory disease. Diagnosis is based on clinical criteria and an inflammatory syndrome occurring within 2 to 3 weeks after spontaneous or induced abortion...
December 2012: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Oluwatosin Jaiyeoba
Postoperative infection is the most commonly seen complication of surgery in obstetrics and gynecology. The use of antibiotic prophylaxis has greatly decreased though not completely eliminated this adverse outcome. Postoperative infections include wound cellulitis, wound abscess, endomyometritis, pelvic cellulitis, and pelvic abscess. Infections usually manifest as fever and greater than normal postoperative pain. Refractory fevers maybe because of septic pelvic vein thrombophlebitis or maybe noninfectious in origin...
December 2012: Clinical Obstetrics and Gynecology
Shuchi K Rodgers, Cheryl L Kirby, Ryan J Smith, Mindy M Horrow
Cesarean delivery is a commonly performed operation and accounts for nearly one-third of all births in the United States. Although it is a safe procedure, cesarean delivery has a variety of acute and chronic complications that prompt imaging with ultrasonography (US), computed tomography, and magnetic resonance imaging. Acute complications include hematomas in specific locations that are unique to the procedure, as well as a variety of infections. A bladder flap hematoma occurs in the space between the bladder and the lower uterine segment, whereas a subfascial hematoma is an extraperitoneal collection located in the prevesical space posterior to the rectus muscles and anterior to the peritoneum...
October 2012: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Massimo Tonolini, Roberto Bianco
Septic thrombophlebitis of the pelvic veins may occur secondary to non-sterile intravenous drug injection and represents an uncommon yet life-threatening condition, most usually manifesting with persistent spiking fever and limb edema. Risk is further increased in HIV-infected people. High clinical suspicion and prompt imaging assessment with contrast-enhanced multidetector CT are necessary for correct diagnosis and staging, since early treatment prevents further complications such as systemic embolization.
July 2012: Journal of Emergencies, Trauma, and Shock
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