Pregnancy and non-pregnancy related ovarian vein thrombosis: Clinical course and outcome

Diagnosis and management of postpartum ovarian vein thrombosis

“…Complications of symptomatic OVT include sepsis and thrombus extension (25% to 30%) to the inferior vena cava or left renal vein or rarely pulmonary embolism. 2,3 Asymptomatic OVT is more common and may be benign, with a 30% incidence of pelvic (iliac and ovarian) vein thrombosis reported on screening magnetic resonance imaging (MRI) after vaginal delivery 4 and 80% detected in a nonpregnancy population after major gynecological surgery. 5 In a study of 15 patients after cesarean delivery with additional risk factors, 46% had asymptomatic pelvic vein thrombosis, primarily involving the iliac veins, 6 with no evidence of symptomatic venous thromboembolism (VTE) progression or recurrence after clinical follow-up at 1 week or repeat MRI imaging after 6 weeks (Marc Rodger, personal communication, June 26, 2017).…”

“…Nineteen papers underwent full text review and data extraction by 2 independent reviewers, and 11 studies were included: 1 randomized, controlled trial, 7 4 retrospective case series, [8][9][10][11] 4 prospective cohort studies, 1,3,10,12 and 2 retrospective cohort studies. 2,13 Diagnostic imaging techniques…”

“…Follow-up duration ranged from hospitalization (duration not specified) to a median of 40 months. 2 Interventions included antibiotics and/or anticoagulants, with older studies reporting operative interventions (ligation of ovarian veins or the inferior vena cava and/ or hysterectomy) 8,11 often after failure of antibiotics. Earlier studies primarily included patients with refractory fever, 8,11 whereas more recent studies also included patients with OVT and no fever, where antibiotics were not given unless signs of infection were present.…”

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

“…OVT was first described in 1909 by Vineberg [6]. Ovarian veins are located anatomically by the ovaries and fallopian tubes, and they originate from the vascular plexus of the broad ligament [4].…”

Tromboflebite pélvica séptica em puérpera: relato de caso

“…E concluiu, portanto, que não há indicação de uso de anticoagulantes de forma rotineira em mulheres com febre persistente pós-parto. No entanto, diversos estudos recentes 7,12,14 sugerem que a anticoagulação pode ser feita por até 3 meses ou mais, dependendo do acometimento.…”