Contained intra-abdominal morcellation: Is it the way forward?

See, Alexandriia; Chern, Bernard

doi:10.1016/j.gmit.2016.06.001

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…There are some complications related to the uterine fibroid in laparoscopic surgery. 1 2 3 4 5 Ovarian vein thrombosis is a rare entity and most cases are associated with pregnancy and the estimated incidence ranges between 0.05 and 0.18% of pregnancies. 80–90% of cases occur several days after delivery.…”

Section: Discussionmentioning

confidence: 99%

Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Minagawa

Etoh

Masuda

et al. 2017

Gynecology and Minimally Invasive Therapy

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Ovarian vein thrombosis in non-pregnant patient is a rare clinical entity. Among 170 patients who underwent total laparoscopic hysterectomy (TLH) in our hospital from December 2011 to December 2015, we have one case of ovarian vein thrombosis (0.0059%). A 42-year-oId woman had a fever of 39 °C on the fourth day after TLH. A blood test revealed elevations of liver enzymes and D-dimer (AST 1157 U/L, ALT 942 U/L and D-dimer >30 μg/L). Computed tomography (CT) scan with intravenous contrast agent demonstrated right ovarian vein thrombosis which caused decline in blood flow to liver and acute liver dysfunction. Low-molecular weight heparin was initiated and liver enzymes reduced rapidly. On the seventeenth day after TLH, CT scan revealed a recanalization of the ovarian vein. We report the clinical outcomes of the case attempted with a small review of the literature.

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Section: Discussionmentioning

confidence: 99%

Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Minagawa

Etoh

Masuda

et al. 2017

Gynecology and Minimally Invasive Therapy

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“…OVT is prevalent in 0.05-0.18% of pregnancies globally, with its incidence increasing to 1-2% following CS [3]. The results from a prospective study showed that CS contributed to a 0.1% incidence of OVT [4].…”

Section: Introductionmentioning

confidence: 97%

A Rare Case of Idiopathic Gonadal Vein Thrombosis

Zaki¹,

Iftikhar²,

Shaban³

et al. 2022

Cureus

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Gonadal vein thrombosis, also known as ovarian vein thrombosis, is a rare medical condition presenting mostly in the postpartum period. Gonadal vein thrombosis is associated with conditions such as inferior vena cava thrombosis, sepsis, and pulmonary emboli which can lead to high morbidity and mortality. This report illustrates the case of a 25-year-old female patient who presented to the emergency department with a history of abdominal pain for over three days. The pain initially started centrally for a day, gradually, without radiation, and then became more localized in the right lower area and radiated to the genital area. The patient had a history of a cesarean section two years ago. Based on the presentation, an abdominal computed tomography scan demonstrated thickened tortuous right gonadal vein with the possibility of right gonadal vein thrombophlebitis and thrombosis. Having been examined by the general surgery and gynecology teams, a treatment plan was drawn involving thrombophilia workup and therapeutic anticoagulation. Although a rare entity, idiopathic gonadal vein thrombosis can present in the emergency department with vague abdominal pain and unclear diagnosis with a lack of risk factors. A high index of suspicion and imaging might be helpful to make this unique diagnosis.

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