Incidence of negative appendicectomy: retrospective follow-up of histopathology specimens

Talreja, Deep P.; Bai, Rani; Talreja, Sagar; Al-Amri, Hamed H.; Sawafi, Khalid Al; Haque, Parwez Waseemul; Albatanony, Ayman A

doi:10.18203/2349-2902.isj20222095

Cited by 1 publication

(4 citation statements)

References 14 publications

(33 reference statements)

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“…The optimal treatment is a combination of anticoagulant therapy and antibiotics. 13,14 Antibiotic selection may include imipenem and cilastatin, ampicillin and sulbactam, clindamycin, gentamicin and second-or third-generation cephalosporins. 15 Surgical intervention in the initial treatment of OVT is controversial.…”

Section: Discussionmentioning

confidence: 99%

“…13 The duration of treatment with anticoagulants is for 3 months. 14 Small thrombosed pelvic veins can be treated in a short period of 2-3 weeks. 14,15 Additionally, some authors recommend that asymptomatic OVT can be treated without anticoagulants, unless there is imaging evidence of thrombus extension or development of pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

“…14 Small thrombosed pelvic veins can be treated in a short period of 2-3 weeks. 14,15 Additionally, some authors recommend that asymptomatic OVT can be treated without anticoagulants, unless there is imaging evidence of thrombus extension or development of pulmonary embolism. 10,13,14 Warfarin is a better alternative because it is more convenient without injections and allows safe breast-feeding.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 CONCLUSIONOvarian venous thrombosis should be considered in each postpartum lady complaining of abdominal pain and fever. Radiographic images such as MRI angiography and venography CT scans are helpful for diagnosis.…”

mentioning

confidence: 99%

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Post-partum right ovarian vein thrombosis mimicking acute appendicitis: a rare entity

Talreja,

Elsayed

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Postpartum ovarian vein thrombosis (OVT) is a rare condition that must be distinguished from other causes of acute abdominal pain because it presents with non-specific, predominantly lower abdominal pain. If the right ovarian vein is involved, pain would be predominantly right-sided and may be missed for acute appendicitis. OVT has been reported to occur in 0.05% to 0.18% in the postpartum period following normal vaginal deliveries, and in up to 2% following caesarean sections. Untreated, postpartum OVT can lead to serious consequences such as sepsis, pulmonary embolism, and even death. We share a case that was admitted to our hospital with symptoms of acute appendicitis that proved later to be due to postpartum ovarian thrombosis. A 28-year-old woman was admitted to our hospital on her 4th postpartum day, following a spontaneous vaginal delivery of a live born full term female baby, complaining of anorexia, nausea, and abdominal pain in her right lower quadrant accompanied by low grade fever. On examination, she appeared ill and had a significant tenderness in her right lower quadrant. An ultrasonography did not reveal any abnormality and did not visualize her appendix. Patient was referred to a consultant gynecologist and was discharged as having no obstetric nor gynaecological cause of her complaint. Patient was admitted to general surgery department where a venography CT of her abdomen confirmed a thrombus in the right ovarian vein with a normal appendix. Blood tests were positive for anticardiolipin. Patient was treated conservatively and responded well to treatment with low molecular weight heparin and antibiotics. OVT is a rare disease, occurring mostly in the postpartum period. Rapid diagnosis is needed to prevent serious consequences and unnecessary surgical procedures, especially when mimicking an acute abdomen.

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Section: Discussionmentioning

confidence: 99%