Table 1.

Diagnosis and management for presumed septic pelvic thrombophlebitis.

CT or MRI findings	Antibiotics	Anticoagulation	Length of treatment	Final outcome
Right ovarian vein thrombosis	Ertapenem or gentamicin, ampicillin, clindamycin (7 days)	Enoxaparin (1 mg/Kg), warfarin (INR 2.5)	3–6 months warfarin	Repeat CT scan after 3 months. If negative, stop anticoagulation. If still positive for thrombi, anticoagulate for 3 additional months
Pelvic branch vein thrombosis	Ertapenem or gentamicin, ampicillin, clindamycin (7 days)	Enoxaparin (1 mg/Kg)	2 weeks	No repeat imaging necessary
Negative for pelvic thrombi	Ertapenem or gentamicin, ampicillin, clindamycin (7 days)	Enoxaparin (1 mg/Kg)	1 week	No repeat imaging necessary