Presentation
History of vaginal delivery two weeks ago. Now the patient has pelvic pain, flank pain, fever, and vomiting.
Patient Data
Age: 25 years
Gender: Female
From the case:
Pelvic septic thrombophlebitis
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Multiple prominent pelvic vessels are identified, some of which show filling defects.
The post-delivery bulky uterus is noted.
There is mild hypo-attenuating material in the endometrial cavity (blood clot).
Case Discussion
Septic pelvic thrombophlebitis is a rare complication of vaginal delivery. The common presenting symptoms include fever and abdominal pain.
In CT images, a filling defect (thrombus) can be seen in the lumen of enlarged vessels.
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