Septic Pelvic Thrombophlebitis: Likelihood Ratios

Introduction: Infectious thrombosis (thrombophlebitis) of the ovarian veins is an uncommon complication of pregnancy (delivery) or gynecologic surgery. However, the diagnosis is often difficult to establish and requires a high degree of suspicion.

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The likelihood ratios of findings for Septic Pelvic Thrombophlebitis are listed below. See the left navigation bar to change the display.

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Finding	+LR	-LR	Comments, Study
Abdominal CT	inf	0	truth was established by a combination of MR, CT, and US Study: AJR Am J Roentgenol. 1997 Oct;169(4):1039-43. PMID: 9308461
Abdominal MRI	inf	0.1	truth was established by a combination of US, CT, and MRI Study: AJR Am J Roentgenol. 1997 Oct;169(4):1039-43. PMID: 9308461
Blood Cultures	Sensitivity = 35%		Study: Infect Dis Obstet Gynecol. 2006;2006:15614. PMID: 17485796
Pelvic US	inf	0.5	truth was established by a combination of MR, CT, and US. Sensitivity was markedly reduced for the left ovarian vein as compared to the right (obscured by overlying structures). Study: AJR Am J Roentgenol. 1997 Oct;169(4):1039-43. PMID: 9308461