Prise en charge de la thrombose veineuse ovarienne du post-partum. L’expérience du CHU d’Amiens

Lerouge, Jennifer; Sanguin, Sophie; Gondry, J.; Sergent, F.

doi:10.1016/j.gyobfe.2015.11.010

Cited by 8 publications

(15 citation statements)

References 28 publications

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“…[2] POVT could induce urinary obstruction, causing hydronephrosis and kidney failure. [13] Fatal complications included pulmonary embolism, dyspnea, loss of consciousness, shock, and cardiac arrest. [14] Pelvic congestion syndrome and recurrent deep vein thrombosis were noted in POVT.…”

Section: Discussionmentioning

confidence: 99%

Pharmacologic treatment of a postpartum ovarian vein thrombosis: Case report

2023

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Introduction: Postpartum ovarian vein thrombosis (POVT) is a rare disease, and could cause severe complications if ignored. We report a case of POVT, including the patient clinical features, diagnostic methods, treatment, and follow-up results. Case presentation: A 30-year-old Asian woman was admitted to our hospital because of spontaneous abortion. After the miscarriage, she presented with fever and right lower abdominal pain. A physical examination revealed abdominal tenderness in the right lower quadrant with a palpable mass. Laboratory tests showed leucocytosis and elevated C-reactive protein. Abdominal ultrasound (US) and computed tomography revealed right ovarian vein thrombosis (OVT). The patient was treated with systemic anticoagulation and antibiotics and was discharged 22 days later on a regimen of an oral anticoagulant. 1.5 months after discharge, an US with a color Doppler examination showed no OVT. Conclusion: A high index of suspicion is required in cases of abdominal pain and fever after delivery, especially if unresponsive to antibiotics. It should be differentiated from acute appendicitis, accessory abscess, endometritis, ovarian torsion, and other acute abdominal diseases. For a POVT case with a definite diagnosis, drug treatment may be effective enough.

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Section: Discussionmentioning

confidence: 99%

Pharmacologic treatment of a postpartum ovarian vein thrombosis: Case report

2023

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“…TVO is suspected by ultrasound findings a retroperitoneal image lateral to the inferior vena cava, cylindrical, hypoechogenic. There is a slowing or even absence of flow in the vessel lumen [7].…”

Section: Etiopathogenesismentioning

confidence: 99%

“…They are respectively 78% to 100% and 62% to 99% for abdominal and pelvic CT scan, and 92% and 100% for MRI. However, due to cost and the limited availability of MRI, CT scan is currently the examination of choice for the diagnosis of OVT [7]. It allows to specify the age and extent of the thrombus and to follow its evolution.…”

Section: Etiopathogenesismentioning

confidence: 99%

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Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report

Logbo-Akey¹,

Ajavon²,

M’bortche³

et al. 2021

OJOG

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Introduction: OVT is rare, with an incidence of 0.05% to 0.18% and occurring preferentially in postpartum period. Any delay in management may compromise the patient's vital prognosis. Observation: We report a case of a 34year-old patient, G2P3, who delivered twins by cesarean section at 39 weeks of amenorrhea. She presented abdominal pain and fever on the 4 th day of postpartum. Biological tests showed a biological inflammatory syndrome and a positive blood culture with gram-positive Staphylococcus. After 72 hours of antibiotics with no clinical or biological improvement, a CT scan revealed a 12 mm thrombus in the lumen of the right ovarian vein's connection to the inferior vena cava. Antibiotic treatment was continued, associated with an anticoagulant. The evolution was been favorable. Conclusion: Rare and serious pathology, the diagnosis is made using medical imaging. The outcome is generally favorable with antibiotic therapy and anticoagulant therapy.

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“…53 Sustained high levels of prokineticin-1 beyond the first trimester of pregnancy contribute to the development of pregnancyinduced hypertension. 54 Prokineticin-1 and PKR1 expression peak during the first trimester of pregnancy, 55 controlling the formation of pseudovascular networks and feto-maternal circulation. 55 Prokineticin-1 is also a key factor in the success of embryo implantation.…”

Section: Prokineticin Levels As a Marker Of Hypoxic Disease And Organmentioning

confidence: 99%

Updates on Endothelial Functions of Proangiogenic Prokineticin

Nebigil

2016

Hypertension

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Prise en charge de la thrombose veineuse ovarienne du post-partum. L’expérience du CHU d’Amiens

Cited by 8 publications

References 28 publications

Pharmacologic treatment of a postpartum ovarian vein thrombosis: Case report

Pharmacologic treatment of a postpartum ovarian vein thrombosis: Case report

Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report

Updates on Endothelial Functions of Proangiogenic Prokineticin

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