[Skip to Navigation]
Sign In
Article
May 1924

SEPTIC THROMBOPHLEBITIS OF FEMORAL VEIN, OPERATIVE TREATMENT: WITH REPORT OF CASE

Arch Surg. 1924;8(3):763-771. doi:10.1001/archsurg.1924.01120060060002
Abstract

Septic thrombophlebitis, irrespective of its site, always induces a serious clinical picture, frequently with unfavorable prognosis. Whether it involves the lateral sinus, a tributory of the portal vein, the pelvic veins or veins of the extremities, insidious and progressive advance of the thrombus is the usual course. The clot laden with bacteria softens, and small particles with engulfed micro-organisms enter the blood stream. For a time, the showers of micro-organisms are apparently destroyed by the bactericidal agents of the body. Blood cultures are then not invariably positive. The condition is an intermittent bacteremia (Martin1 ). The prognosis depends on many factors, but it is largely a question of the ratio between the number, type and virulence of the micro-organisms and the resistance of the host.

In general, the infection overwhelms the resistance. Organisms are arrested by the liver or lung, with resulting abscess formation therein, or they pass through these

Add or change institution
×