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At least 415 records · Page 23Linked to original sources

Puerperal ovarian vein thrombophlebitis.

A 16 year old Chinese female with puerperal ovarian vein thrombophlebitis following uneventful vaginal delivery is reported. This infrequent, but potentially fatal, complication in the febrile postpartum patient may present as a surgical emergency. Non-invasive diagnostic procedures and conservative treatment with heparinization and antibiotics have been suggested. However, early exploratory laparotomy for ovarian vein or caval ligation may be life-saving if the diagnosis is in doubt or the response to conservative treatment is unsuccessful.

Adolescent↗

2-D time-of-flight (TOF) MRA of thrombophlebitis of upper extremity and subclavian veins. A case report.

In this report, the authors present a case of segmental thrombosis of left subclavian vein that was inaccessible to conventional venography and inconclusive in magnetic resonance techniques (spin echo, gradient echo) but was clearly demonstrated by two-dimensional time-of-flight magnetic resonance angiography (2D TOF MRA). This technique is very sensitive to detect slow flow or partial occlusion of the vessels and is of great help in solving the problem of axillary-subclavian venous obstruction or thrombophlebitis.

Adult↗

Central vein thrombophlebitis associated with a permanent silastic central catheter.

The use of silastic catheters for total parenteral nutrition has greatly expanded. Their decided advantages of flexibility and minimal thrombogenicity favor their use in the long-term nutritional support. This case report details the development of central vein thrombophlebitis associated with an indwelling central silastic catheter. This uncommon hazard of central venous catheterization is not eliminated by the use of silastic catheters.

Axillary Vein↗

Fatal suppurative mesenteric thrombophlebitis caused by an Enterococcus faecalis highly resistant to aminoglycosides: case report.

A 56-year old man with non-Hodgkin's lymphoma and biliary tract endoprosthesis, developed chronic bacteremia caused by Enterococcus faecalis with high-level resistance to gentamicin and streptomycin. The sources of bacteremia were a device-associated biliary tract infection, a suppurative thrombophlebitis of the confluence of the superior mesenteric vein with the splenic vein as well as multiple liver and pancreatic abscesses. Despite antibiotic therapy and multiple drainages of abscesses, the patient died due to overwhelming infection.

Anti-Bacterial Agents↗

Suppurative thrombophlebitis of the superior vena cava.

A 22-year-old woman, a neurosurgical comatose patient developed suppurative thrombophlebitis of the superior vena cava due to Klebsiella pneumoniae, as a complication of catheterisation for parenteral nutrition. The diagnosis was established by gallium scan, computed tomography and digital vascular imaging. Conservative treatment with antibiotics and heparin resulted in the emergence of a resistant mutant of the causative agent. The infection could only be eradicated after surgical thrombectomy.

Adult↗

[Cortical thrombophlebitis and developmental venous anomalies].

Abnormal intracranial venous drainage called cerebral venous angioma is usually asymptomatic. Hemorrhages and seizures may however occur. The malformation may rarely be revealed by thrombosis. We report the case of a 25-year-old right-handed woman who developed cortical thrombophlebitis subsequent to developmental venous anomalies. After a course of anticoagulant therapy, outcome was good, demonstrating that anticoagulant therapy may be indicated in spite of the high risk of hemorrhage.

Adult↗

Oropharyngeal Necrobacillosis with Septic Thrombophlebitis and Pulmonary Embolic Abscesses: Lemierre's Syndrome in a New Zealand White Rabbit.

Lemierre's syndrome, oropharyngeal infections induced by anaerobic bacteria, leading to fatal septic thrombophlebitis of the internal jugular vein and pulmonary embolic abscesses in humans, was diagnosed in a 6-month-old, male, New Zealand White rabbit. After acute onset of anorexia, lethargy, and depression, the rabbit died suddenly despite emergency clinical care. Necropsy revealed swelling, necrosis, and abscess in the soft tissues around the left caudal mandibular ramus, oral mucosa, and molar teeth, with systemic embolic abscesses and necrosis, especially in the jugular vein, lungs, and brain. Histologic examination revealed necrosis and embolic abscesses with filamentous bacteria in the mandibular soft tissues, salivary gland, jugular veins, alveolar bone and marrow, periodontal tissues and dental pulp, oral and pharyngeal mucosa, lungs, brain, liver, myocardium, meninges, and small intestine. Bacterial culture of the mandibular abscess and heart blood yielded Fusobacterium necrophorum.

Journal Article↗

Superficial vein thrombophlebitis as a marker of hypercoagulability.

Superficial thrombophlebitis (SVT)is a common disorder with potential morbidity from recurrence and pulmonary embolism (PE), but it has received little attention in the literature. The availability of reliable duplex ultrasonography of the deep and superficial venous systems has made routine determination of the location and incidence of deep vein thrombosis (DVT) in association with SVT practical.

Journal Article↗

Septic cavernous sinus thrombophlebitis: a review of 35 cases.

Thirty-five cases of septic cavernous sinus thrombophlebitis seen over the past 5 years are reviewed. Of these 80% were secondary to infection of the medial 1/3rd of the face. In more than 2/3rds of the cases the infecting organism was Staphylococcus aureus. Even with appropriate antibiotic therapy the overall mortality was 34.3%.

Adolescent↗

Management of thrombophlebitis in the prepartum period. A case report.

The case of a 30-year-old female who presented with acute onset of ileofemoral thrombophlebitis during the 37th week of pregnancy is presented. Treatment with intravenous infusion of heparin was initiated on the day of admission. The following day, the patient went into active labor. Heparin was stopped, and a Greenfield filter was placed in the suprarenal inferior vena cava. Six hours later, the patient had a normal vaginal delivery. Fifteen hours after delivery, heparin was restarted. The patient was discharged eight days later on therapeutic levels of Coumadin. Anticoagulation was maintained for six months and at one year she was asymptomatic.

Adult↗

Septic thrombophlebitis of the internal jugular vein.

Septic thrombophlebitis of the internal jugular vein is a rare condition with diverse etiologies. The significance of the systemic effects of this condition far exceeds its local implications. Complications occur frequently and may be life threatening. The pathogenesis, histologic features, clinical and imaging aspects of this entity, based on a series of 13 patients, are discussed.

Adult↗

[Thrombophlebitis of left cavernous sinus secondary to acute right sphenoid sinusitis].

Isolated sphenoid sinusitis is a rare, potentially destructive entity. Presenting symptoms are often vague and non-specific therefore the diagnosis is made late when complications have had already occurred. The most frequent complications of sinusitis are the neurological ones--being serious life--threatening conditions. We report a case of isolate right sphenoid sinusitis with concurrent thrombophlebitis of left cavernous sinus. Accordingly, we review the salient clinical features of this illness, with emphasis on the importance of a high index of suspicion, the potentially rapid and fatal course of the disease process and the aspects of the diagnosis and treatment. We also reviewed the predisposing factors of complications of sphenoid sinusitis.

Adrenal Cortex Hormones↗

Cavernous sinus thrombophlebitis in Zimbabwe.

Cavernous sinus thrombophlebitis (CST) was diagnosed in 19 black African patients who presented to two large, general hospitals in Harare, Zimbabwe, over an eight-year period. Diagnosis was based on clinical criteria. The mean age of patients was 22.5 years (range 8 months-70 years). Only three patients (15.5 pc), all of whom were promptly diagnosed and commenced on a regimen including intravenous, high-dose cloxacillin, recovered completely. In ten cases (52.6 pc), initial treatment was penicillin and chloramphenicol. Four of the 19 patients who had serious sequelae including residual blindness, complete ophthalmoplegia or unilateral proptosis, and six patients (31.6 pc) died. The higher than usual mortality rate in this series can be attributed to various factors including late presentation, delay in diagnosis and delay before initiation of effective antibiotic treatment. Whenever CST is suspected, antibiotic treatment should be administered without delay pending further evaluation, and the initial regimen should include high-dose antistaphylococcal antibiotics.

Adolescent↗

Ultrasonographic evaluation of horses with thrombophlebitis of the jugular vein: 46 cases (1985-1988).

Medical records of 46 horses with jugular vein thrombophlebitis that were evaluated ultrasonographically were reviewed. The ultrasonographic appearance of the thrombus within the jugular vein was classified as noncavitating if it had uniform low to medium amplitude echoes, or as cavitating if it was heterogenous with anechoic to hypoechoic areas representing fluid or necrotic areas within the thrombus, and/or hyperechoic areas representing gas. Signs of pain on palpation of the affected vein (P less than 0.001), heat over the vein (P = 0.001), and swelling of the vein (P less than 0.05) were significantly associated with the ultrasonographic detection of a cavitating lesion. Ultrasonography also was useful for selecting a site for aspiration of a specimen for bacteriologic culturing and susceptibility testing.

Animals↗

[Thrombophlebitis of the ovarian veins. A case report. Review of the literature].

The authors report on one case of thrombophlebitis of the two ovarian veins complicated by thrombosis of the vena cava inferior after a septic abortion. The diagnosis suggested by the persistence of symptoms of a severe pelvic infection was confirmed using computerized axial tomography. Faced with a clot floating in the vena cava inferior, a Greenfield filter was placed subrenally and combined with antibiotic therapy and IV heparin therapy. Clinical symptoms resolved but the scanographic image of thrombosis of the vena cava persisted after 7 months of treatment. This is a rare disease which is currently easy to diagnose, thanks to computerized axial tomography and nuclear magnetic resonance.

Abortion, Septic↗

[Thrombophlebitis of the ovarian vein. Apropos of 2 cases].

Thrombophlebitis of the ovarian vein is a rare post-partum complication. Its diagnosis is said to be difficult, but was greatly facilitated by the progress made in imaging. The authors report about two cases identified with computed tomography. Evolution was favorable in both cases with an anticoagulant and antibiotic treatment.

Abdominal Pain↗

The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection.

We present 2 cases of the Lemierre syndrome (also called postanginal septicemia), along with 36 other cases from a review of recent literature. A review of the literature during the preantibiotic era is also included. This disease is caused by an acute oropharyngeal infection with secondary thrombophlebitis of the internal jugular vein complicated by multiple metastatic infection. The majority of cases are caused by anaerobic gram-negative organisms, most frequently Fusobacterium necrophorum. An enhanced computed tomographic scan of the neck is the technique of choice to demonstrate the thrombosis of the internal jugular vein. Prolonged intravenous administration of antimicrobial agents known to have a good antianaerobic coverage, along with drainage of purulent collections, will usually be successful in the overwhelming majority of patients.

Adult↗