Septic pelvic thrombophlebitis (SPT) was initially diagnosed anddescribed in the late 1800's. The entity had a high incidence andmortality during this period of time, and a surgical therapeuticapproach was the treatment of choice. Since then, the diagnosis,incidence, and management of the entity evolved. This evolutionfollowed the development of newer diagnostic tools such ascomputed tomography (CT), magnetic resonance imaging (MRI), and abetter understanding of the pathophysiology of the disease. Thetreatment of SPT has had significant changes as well, from asurgical approach at the end of the 19th century to amedical approach after the 1960's. By using an adequatebroad-spectrum antibiotic therapy, mortality has decreased.However, controversy in the management of this entity remainseven till today.
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