Idiopathic Left Ovarian Vein Thrombosis

Abstract

Ovarian vein thrombosis (OVT) was first described in 1956 and is well known for its association with gynecological malignancy, pregnancy, postpartum, pelvic diseases, surgeries, and other thrombophilic etiologies. Most commonly OVT presents on the right ovarian vein. We report a rare case of a 47-year-old Caucasian female G7P7 with no significant past medical history who presented to the emergency room for acute nonspecific back pain and left lower quadrant pain of 1 day. Imaging with a computed tomography with contrast demonstrated a new left OVT. After a thorough literature review, this is presumed to be the third reported case of idiopathic left OVT.

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

“…The first case of ovarian vein thrombosis (OVT) was reported in 1956 by Trang et al [1]. OVT is mainly associated with postpartum complications.…”

“…Early diagnosis is very important; abdomen and pelvic CT with intravenous contrast remains the main choice of imaging to successfully differentiate it from and rule out other pathological diseases related to female pelvic anatomy. The treatment of choice is anticoagulation, and the use of antibiotics is also indicated if signs and symptoms of pelvic infection are present [1,2].…”

Fatal pulmonary thromboembolism caused by idiopathic ovarian vein thrombosis

“…OVT is observed in the field of obstetrics and gynaecology, and occasionally diagnosed during the postpartum period or in patients with ovarian malignancy [2]. The common symptoms in patients with OVT are fever and abdominal pain [1].…”

“…Ovarian vein thrombosis (OVT) is occasionally diagnosed during the postpartum period or in patients with ovarian malignancy [1,2]. Few cases of pulmonary thromboembolism (PTE) caused by OVT have been reported previously [3,4].…”

Trombosis aguda idiopática no puerperal de la vena ovárica: presentaciónde caso y revisión de la literatura

“…En total, se encontraron 15 casos documentados en el mundo, aparentemente de etiología idiopática (2,6,7,11,12,13,14,15,16,17,18,19,20,21,22). Al analizarlos en conjunto, se puede concluir que, en el contexto de trombosis gonadal idiopática, el periodo premenopáusico es la edad más frecuente de aparición (80 %), pues las pacientes se situaban en el rango de edad de 24 a 79 años, con una edad media de 43,2 años.…”