Postpartum deep septic pelvic thrombophlebitis after cesarean section: A case report

Deep septic pelvis thrombophlebitis is a diagnosis that should be entertained in any patient who develops persistent fever postpartum which is unresponsive to antibiotic therapy. In this article, we report a case of a 42-year-old multiparous female who was developed a prolonged febrile illness postpartum following a caesarean section. Diagnosis of deep septic pelvis thrombophlebitis was suspected and confirmed using contrast enhanced computed tomography. She was managed conservatively and successfully treated with broad spectrum antibiotics and anticoagulation with low molecular weight heparin. She was discharged 17 days post-operatively, symptom free, with a course of extended anticoagulation therapy.