Postpartum Ovarian Vein Thrombosis: Clinical Case by Ana Ribeiro* in Investigations in Gynecology Research & Womens Health_ Gynecology Open Access Journals
Abstract
Ovarian
vein thrombosis (OVT) is a rare but potentially serious postpartum
complication, which occurs in 0.05% to 0.18% of pregnancies and is diagnosed on
the right side in 80% to 90% of the cases [1,2]. As OVT can mimic acute abdomen
it should be considered in the differential diagnosis of postpartum acute abdomen [3]. We present a
case of a 29-year-old female who presented a diffuse abdominal pain, fever and
vomit on her third postpartum day. Her computed tomography demonstrated left
ovarian vein repletion defect compatible with the presence of a thrombus. She
was treated with enoxaparin and antibiotics, which lead to a resolution of the
thrombus. Our case highlights the importance of prompt diagnosis and treatment
of OVT in order to prevent morbidity and mortality
Ovarian
vein thrombosis is a rare but potentially serious condition that affects mostly
postpartum women, but it may also be associated with a variety of pelvic
conditions, such as pelvic inflammatory disease, gynecological surgery, and
malignancies [1]. Early recognition and treatment of this condition is needed
to avoid the morbidity and the mortality related both to the thrombosis and to
any associated infection or sepsis. OVT can occur in 0.02% to 0.18% of
pregnancies, 80% to 90% occur in the right side [2]. This is believed to be
due, in part, to the dextrorotation of the enlarging uterus that commonly
occurs during pregnancy, which compresses the right ovarian vein and right
ureter as they cross the pelvic rim [4]. The usual clinical symptoms are pelvic
or diffuse abdominal pain,
fever and right-sided palpable mass
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