Summary
This paper presents the case of a 61-year-old female patient who complained about
exhaustion and fever during curative therapy, a few weeks after hysterectomie and
adnexectomy. Antibiotic therapy could only improve these symptoms though only in the
short term. Additionally, a venous port, which had been implanted for the purpose
of cytoreduction chemotherapy, was suspected of a catheter infection and was removed.
However, this did not lead to a substantial improvement of the patient’s general state
of health, but ultimately triggered a sepsis, making necessary treatment in intensive
care unit. At this stage, the detailed search for the focus of the infection led to
the discovery of an infected thrombosis of the inferior vena cava with bilateral septic
pulmonal embolisms and with an abscess. Thus, the source of sepsis had to be removed
by surgery, a transfemoral thrombectomy was performed and an inguinal arteriovenous
fistula was created. The further course of the disease was without complications;
the patient could be released into ambulant treatment 24 days after the surgery. The
elective sealing of the arteriovenous fistula was carried out 11 months later. In
the follow- up, there were no hints for infection; the deep venous system in particular
did not indicate any new thrombosis or of residual thrombi, with the tumor follow-up-care
showing a complete remission.
Keywords
Septic deep vein thrombosis - venous thrombectomy
