Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Abstract

Ovarian vein thrombosis (OVT) is an extremely rare but life-threatening complication of the postpartum period. It has never been reported as a complication of laparoscopic surgery. We report a case of right ovarian vein thrombosis that occurred in the postoperative period after patient underwent laparoscopic salpingectomy for a right side ectopic pregnancy. She presented with 1-week history of abdominal pain and fever. A complete workup for fever was performed and was found negative. Computed tomography of the abdomen and pelvis revealed right ovarian vein thrombosis. The patient was treated with anticoagulant therapy and responded well.

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

“…Laparoscopic surgeries are less invasive than abdominal surgeries, but, there are three case reports of OVT after laparoscopic surgeries. 9 10 11 From December 2011 to December 2015, 170 patients underwent TLH at our hospital, however, only this case suffered from OVT (0.0059%). It is naturally surmised that large tumors and large operative stresses are more likely to cause thromboses, so we analyzed them statistically.…”

Ovarian vein thrombosis after total laparoscopic hysterectomy with unilateral adnexectomy: A case report

“…Thrombophilia may act as a risk factor for its development [9]. In gynecology, OVT can occur after laparotomy, uterine prolapse and malignancies [3].…”

“…OVT may be associated with conditions such as pelvic inflammatory disease, malignancy, inflammatory bowel disease, sepsis, and pelvic or abdominal surgery [8] . Thrombophilia may act as a risk factor for its development [9] . In gynecology, OVT can occur after laparotomy, uterine prolapse and malignancies [3] .…”

“…Before the development of modern imaging techniques, the diagnosis of OVT was based on laparotomic evaluation or a heparin test [12] . Nowadays, ultrasonography, magnetic resonance angiography, and CT scan can be used for its diagnosis [9] . However, ultrasonographic imaging is a poor method of OVT detection, because the whole length of the vein may not be identifiable due to increased BMI and the postoperative bowel distension.…”

Left Ovarian Vein Thrombosis Presenting as Acute Postpartum Pyelonephritis

“…It is reported in gynecologic abdominal and pelvic surgery, malignancy, pelvic inflammatory disease and inflammatory bowel diseases and other conditions that can cause thrombus formation in the ovarian veins [3][4][5]. With the increased trend of laparoscopic gynecologic surgeries, OVT is also reported in patients who had undergone minimally invasive surgeries [6][7].…”