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Infectious Diseases in Obstetrics and Gynecology
Volume 2006 (2006), Article ID 15614, 4 pages
http://dx.doi.org/10.1155/IDOG/2006/15614
Clinical Study

Septic Pelvic Thrombophlebitis: Diagnosis and Management

Obstetrics, gynecology, and Women's Health Department, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark 07103, NJ, USA

Received 9 March 2006; Revised 19 May 2006; Accepted 5 June 2006

Copyright © 2006 Javier Garcia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Septic pelvic thrombophlebitis (SPT) was initially diagnosed and described in the late 1800's. The entity had a high incidence and mortality during this period of time, and a surgical therapeutic approach was the treatment of choice. Since then, the diagnosis, incidence, and management of the entity evolved. This evolution followed the development of newer diagnostic tools such as computed tomography (CT), magnetic resonance imaging (MRI), and a better understanding of the pathophysiology of the disease. The treatment of SPT has had significant changes as well, from a surgical approach at the end of the 19th century to a medical approach after the 1960's. By using an adequate broad-spectrum antibiotic therapy, mortality has decreased. However, controversy in the management of this entity remains even till today.