Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT, and sonography.

Twickler, Diane M.; Setiawan, Anthony T.; Evans, R. M. L.; Erdman, William A.; Stettler, R. W.; Brown, Charles Eric; Cunningham, F. Gary

doi:10.2214/ajr.169.4.9308461

Cited by 132 publications

(76 citation statements)

References 6 publications

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“…Thrombi in the pelvic veins can often be seen radiologically with CT or MRI both capable of making the diagnosis. 26 In multiple studies, the rates of thrombi seen by imaging patients with fever for more five days despite adequate therapy was 20%. 25,26 Adequate antibiotic therapy consists of intravenous IV ampicillin (2 g then 1 g q4 h), gentamicin (5 mg/kg q24 h), and clindamycin (900 mg q8 h).…”

Section: Septic Pelvic Thrombophlebitismentioning

confidence: 99%

Post partum infections: A review for the non-OBGYN

Dalton

Castillo

2014

Obstet Med

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The epidemiology of infections in the puerperium (post partum period) is not well understood and remains underestimated because surveillance systems are often limited to the acute care setting. The most common source of persistent fever after delivery is genital tract infection for which diagnosis remains mostly clinical and antibiotic treatment empiric. This review will emphasize surgical site infections (SSIs) and endometritis. Septic thrombo-phlebitis, mastitis, urinary tract infections and rare infections will be covered in less detail. Puerperal sepsis will not be reviewed.

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Section: Septic Pelvic Thrombophlebitismentioning

confidence: 99%

Post partum infections: A review for the non-OBGYN

Dalton

Castillo

2014

Obstet Med

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“…Ovarian vein thrombophlebitis is associated at surgery with a congestive ovary (10). However, US, CT, and MR reports in the literature emphasize direct visualization of the thrombus and do not describe the ovaries (11,12). No risk factor or clinical or imaging findings suggestive of ovarian thrombophlebitis were present in any of our cases.…”

Section: Discussionmentioning

confidence: 57%

Spontaneous detorsion of the ovary: Can it be diagnosed by MRI?

Ghossain

Hachem

Aoun

et al. 2006

Magnetic Resonance Imaging

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Purpose: To determine whether recent progress in imaging has made it possible to diagnose spontaneous detorsion, which is an accepted concept in the gynecological literature but until now has been a presumptive diagnosis that could not be confirmed because of the lack of imaging proof. Materials and Methods:We searched for patients who had a diagnosis of spontaneous detorsion on MRI between January 2000 and January 2003, and selected only patients who met a selection of strict criteria, including mainly enlargement and hyperintensity of ovarian stroma on T2-weighted (T2W) images, clinical findings compatible with torsion and detorsion, and return of the stroma to normal size on follow-up examinations. Other signs of torsion, such as tubal thickening, were appreciated but not mandatory. Clinical follow-up for at least three years was available.Results: Four patients met the study criteria. No stabilizing procedure was performed in the ovaries. One patient recurred and lost her ovary. Conclusion:The diagnosis of torsion followed by spontaneous detorsion was made with high probability in a selected number of patients. The clinical management of such patients remains a matter of debate. Laparoscopy with oophoropexy would be useful for young patients in whom close follow-up cannot be achieved.

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“…The diagnosis is most commonly made with contrast-enhanced CT, but CT and magnetic resonance imaging (MRI) are equally sensitive for detecting this disorder, and both are more sensitive than ultrasound (5).…”

Section: Resultsmentioning

confidence: 99%

Added value of diffusion weighted MRI in the diagnosis of postpartum ovarian vein thrombosis

Cuyper¹,

Eyselbergs²,

Bernard³

et al. 2014

Journal of the Belgian Society of Radiology

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A previously well 31-year-old woman who had given birth to a healthy baby eleven days previously, presented with a undulating fever and nausea that started immediately in the postpartal period after an uncomplicated vaginal delivery. Clinical examination revealed an elective tenderness in the right fossa without rebound tenderness. Rovsing's sign, Murphy's sign, Murphy's punch sign and the psoas sign were all negative.

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Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT, and sonography.

Cited by 132 publications

References 6 publications

Post partum infections: A review for the non-OBGYN

Post partum infections: A review for the non-OBGYN

Spontaneous detorsion of the ovary: Can it be diagnosed by MRI?

Added value of diffusion weighted MRI in the diagnosis of postpartum ovarian vein thrombosis

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