Silent menace: septic abdominal thrombophlebitis

Septic thrombophlebitis of the portal vein.

SIRWe read with interest the article by Plemmons et al. [1]. We treated a patient who had pylephlebitis associated with appendicitis. A 38-year-old woman without a medical or surgical history presented with complaints of vomiting, diarrhea, fever, and rigors. Results ofthe initial physical examination were normal. Laboratory studies showed a WBC count of 5,500/mm (89% segmented neutrophils), a ...

Septic Pelvic Thrombophlebitis Following Laparoscopic Hysterectomy

BACKGROUND The diagnosis of septic pelvic thrombophlebitis is frequently one of exclusion; a suspicion should arise when fever fails to respond to standard broad-spectrum antibiotic therapy and defervesces within 48 hours of the addition of systemic anticoagulation. The risk of a thromboembolic event following minimally invasive surgery is not well defined. CASE REPORT We report the first cas...

Septic Pelvic Thrombophlebitis: Diagnosis and Management

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 tomo...

Silent travellers: germs, genes, and the “immigrant menace”

prolonged discharge from the womb; so singing is not a "remedy", nor is the condition furor uterinus. In an extended discussion of the images of Ashmole 399, Dixon argues that they form a single "saga of uterine woes" (p. 31) of eight pictures, in which a woman suffering from uterine suffocation eventually dies. She interprets the autopsy in the sixth picture as evidence that death was seen as ...

The Silent Menace: Landmines in Bosnia and Herzegovina