Postpartum Ovarian Vein Thrombosis

Basili, G; Romano, Nicola; Bimbi, Marco; Lorenzetti, L; Pietrasanta, D; Goletti, Orlando

doi:10.4293/108680811x13071180406673

Cited by 39 publications

(41 citation statements)

References 13 publications

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“…OVT aff ects between 0.05% and 0.18% of pregnancies (Basili et al 2011). In our unit, where these four cases were managed, the incidence of OVT was 0.07%.…”

Section: Discussionmentioning

confidence: 70%

Ovarian vein thrombosis in pregnancy and the puerperium – A case series

Mone

McKeown

Adams

2015

Journal of Obstetrics and Gynaecology

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Case reports Case oneA 24-year-old low-risk primigravida presented with severe acute right-sided colicky abdominal pain at 26 weeks ' gestation. A fi nding of bilateral hydronephrosis on ultrasound of the renal tracts suggested renal calculi, following which the patient underwent bilateral ureteric stenting. Symptoms persisted and an investigative laparotomy and emergency caesarean section (EMCS) were performed, with negative fi ndings. Subsequent computerised tomography (CT) scan of the abdomen and pelvis (CTAP) revealed a diagnosis of a right-sided ovarian vein thrombus (OVT). Th e patient was treated with therapeutic low-molecular weight heparin (LMWH) and subsequently warfarin, antibiotics and analgesia with the input of a haematologist. A transient thrombocytopenia and neutropenia developed within 3 days of treatment. Maternal testing for inherited thrombophilia and lupus anti-coagulant were negative. Follow-up CT imaging 4 months later revealed resolution of the OVT and warfarin was stopped. In a subsequent pregnancy the patient was commenced on prophylactic LMWH from booking. Figure 1. CT abdomen and pelvis axial image demonstrating right-sided ovarian vein thrombosis. J Obstet Gynaecol Downloaded from informahealthcare.com by University College Dublin on 05/19/15 For personal use only.

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“…OVT aff ects between 0.05% and 0.18% of pregnancies (Basili et al 2011). In our unit, where these four cases were managed, the incidence of OVT was 0.07%.…”

Section: Discussionmentioning

confidence: 70%

Ovarian vein thrombosis in pregnancy and the puerperium – A case series

Mone

McKeown

Adams

2015

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

“…Postpartum ovarian vein thrombosis (POVT) is uncommon; the reported incidence is 1:600 to 1:2000 deliveries 5 .…”

Section: Discussionmentioning

confidence: 99%

“…OVT occurs in 0.05% to 0.18% of pregnancies, but it is 1% to 2% after caesarean section [1][2][3][4] . The right ovarian vein is involved in 80% to 90% of cases 5,6 . It was suggested to be due to the length of the right ovarian vein, lack of retrograde flow and multiple incompetent valves 1 .…”

mentioning

confidence: 99%