<unk>  (SPT), also known as suppurative pelvic<unk> , is a rare postpartum complication which consists of a persistent postpartum fever that is not responsive to broad-spectrum antibiotics, in which pelvic infection leads to infection of the vein wall and intimal damage leading to thrombogenesis in the ovarian veins (left or right, although right is more common due to dextroversion of the uterus). The thrombus is then invaded by microorganisms. Ascending infections cause 99% of postpartum SPT.<unk>  pelvis<unk>  is a cause of post-operative fever from untreated postpartum endometritis or parametritis. After 48 hours of unresolved postpartum endometritis (notably 48 hours of fever that is unaffected by antibiotics), SPT is assumed until proven otherwise (with pelvic radiography). Imaging studies can be helpful in patient refractory to broad-spectrum parenteral antibiotics to look for abscess, retained products, or<unk> . Current treatments consist of a combination of antibiotics selected based on suspected pathogen(s), and anticoagulants. Though the greatest risk factors involve delivery or delivery-related complications, in some rare cases, SPT may arise after abortion procedures and in non-pregnant people with pelvic infections, pelvic surgeries, uterine fibroids, or underlying cancer. SPT can also be further subcategorized into ovarian vein thrombosis (OVT) or puerperal ovarian vein<unk>  (POVT) and deep<unk>  pelvic thrombosis (DSPT).
Septic pelvic thrombophlebitis
Cervicitis
Pelvic inflammatory disease
Oophoritis
Parotitis
Vaginitis
Ovarian vein syndrome
Appendicitis