Case Report


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

1 MBBS, Senior House Officer, Department of Obstetrics and Gynecology, Queen Elizabeth Hospital, St Michael, Barbados

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Keturah Murray

Elizabeth Hospital, Martindales Road, St Michael,

Barbados

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Article ID: 100226Z08KM2026

doi: 10.5348/100226Z08KM2026CR

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How to cite this article

Murray K. Postpartum deep septic pelvic thrombophlebitis after cesarean section: A case report. J Case Rep Images Obstet Gynecol 2026;12(1):22–26.

ABSTRACT


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.

Keywords: Anticoagulation therapy, Postpartum, Septic pelvic thrombophlebitis

SUPPORTING INFORMATION


Author Contributions

Keturah Murray - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Author declares no conflict of interest.

Copyright

© 2026 Keturah Murray. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.