A Case of Postpartum Ovarian Vein Thrombosis

Khalid, Sidra; Khalid, Aariez; Daw, Hamed

doi:10.7759/cureus.2134

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…The localization was the right ovarian vein in 54% of reported cases, 3,5-8,10,11,15,16,18,20,23-28,30-32,35,37,38,40-56,60-66, 69,71-74,76-78,82,86,89,90-94,96-98,102,107,108,111,115,119,123,125,126,128-131, 134-136,138,140,141,146,149 the left in 37% 4,14,19,21,29,34,39,57,67,70,73,80,83,93,120,121,122,124,127,133,139,143,145 and both veins in 9%. 17,19,22,36,52,59,79,86,87,93,95,132,137,142 Extension of thrombus in inferior vena cava (IVC) was observed in 81 cases, 5,6,9,11,12,16,18,20,[22][23][24]…”

Section: Diagnosis (Table 2)mentioning

confidence: 99%

Ovarian Vein Thrombosis

Kanellopoulou¹

2022

HJOG

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Ovarian vein thrombosis (OVT) is a rare type of venous thromboembolism most common diagnosed in the postpartum period and peaking around 2-6 days after delivery. Clinical symptoms are not specific including fever and abdominal pain and the right ovarian vein is more frequently involved (70-80% of cases). The diagnosis of OVT is a clinical challenge because there are multiple other conditions that can present similarly, including ovarian torsion, tubo-ovarian abscess, pelvic inflammatory disease, puerperal endometritis, appendicitis, inflammatory bowel disease and pyelonephritis. Ultrasound Doppler is the first-line imaging; however, most cases are confirmed with computed tomography or magnetic resonance imaging. Mortality related to ovarian vein thrombosis is low due to the combination treatment of broad-spectrum antibiotics and anticoagulation. Extension of thrombus to inferior vena cava or renal veins and rarely pulmonary embolism could also occur. OVT is actually a type of deep vein thrombosis that could be life-threatening however mortality is low due to the combination treatment of broad-spectrum antibiotics and anticoagulation. Anticoagulant treatment duration of 3 to 6 months has been recommended like typical cases of venous thromboembolism.

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Section: Diagnosis (Table 2)mentioning

confidence: 99%

Ovarian Vein Thrombosis

Kanellopoulou¹

2022

HJOG

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“…The incidence of POVT varies between 0.05% and 0.18%, which is much lower than the incidence of postpartum deep vein thrombosis of the lower limbs, and the incidence of POVT is higher after cesarean section than after vaginal delivery. 2,3 The occurrence of POVT on the right side may be associated with the local compression and expansion of the right ovarian vein caused by dextrorotation of the uterus after delivery. 4…”

Section: Case Reportmentioning

confidence: 99%

Pulmonary embolism caused by postpartum ovarian vein thrombophlebitis after vaginal delivery: Case report and brief review of the literature

Fei¹,

Peng²,

Wang³

et al. 2020

J of Clinical Ultrasound

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“…2 Therefore, prompt diagnosis and treatment of such condition are important to prevent morbidity and mortality related to thrombosis and associated infections. 3 OVT can be diagnosed based on clinical signs such as abdominal pain and fever in combination with abnormal imaging findings that include ultrasound, computed tomography (CT) scan, 4 and magnetic resonance imaging (MRI). 5 Here, we present a rare case of postpartum left ovarian vein thrombosis (LOVT).…”

Section: Introductionmentioning

confidence: 99%

Postpartum left ovarian vein thrombosis

Tariku

Hirigo

2020

SAGE Open Medical Case Reports

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Left ovarian vein thrombosis is a very rare and infrequent thrombotic condition that mainly occurs in the postpartum or postoperative period. We report a case of a 25-year-old para-1 woman who presented with 2 weeks of postpartum fever and dull aching abdominal pain more on the left side. Before operation, the diagnosis was left adnexal mass secondary to questionable ovarian cyst torsion and she underwent laparotomy. Her intraoperative findings revealed a firm left broad ligament mass with extension to retroperitoneum and it was difficult to demarcate the proximal end. Moreover, on the second day of postoperation, abdominal Doppler ultrasound indicated enlargement of the left ovarian vein that was filled with thrombi having hypoechoic and intermediate echogenicity. After the confirmation of left ovarian vein thrombosis, the case was treated with anticoagulants and broad-spectrum antibiotics and then well improved. Our case climaxes an instant diagnosis and therapeutic significance concerning ovarian vein thrombosis to early manage/avert complications. Besides, the ovarian vein thrombosis diagnosis requires a high index of suspicion for a case presented with fever and abdominal pain.

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A Case of Postpartum Ovarian Vein Thrombosis

Cited by 3 publications

References 5 publications

Ovarian Vein Thrombosis

Ovarian Vein Thrombosis

Pulmonary embolism caused by postpartum ovarian vein thrombophlebitis after vaginal delivery: Case report and brief review of the literature

Postpartum left ovarian vein thrombosis

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