The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

Alalqam, Muntadhar Mahdi; Abbas, Riyadh Al; Abualsaud, Abdaljaleel Shaker; AlQattan, Abdullah Saleh; Almabyouq, Fatimah

doi:10.1016/j.ijscr.2019.04.039

Cited by 15 publications

(27 citation statements)

References 12 publications

(13 reference statements)

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“…The sensitivity of the DUS is around ~50% only [5]. Also, DUS cannot examine the whole length of the ovarian veins [2]. Hence, further imaging modality is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…No guidelines are available regarding the management of OVT. However, multiple authors [2,4] have argued that the lower-limb deep vein thrombosis (DVT) guidelines are applicable in this scenario. The duration of treatment and choice of anticoagulation remains an essential aspect of management.…”

Section: Discussionmentioning

confidence: 99%

“…Other associated etiologies include pelvic or abdominal surgeries, pelvic infection, sepsis, trauma, malignancy, and hypercoagulable states. The incidence rate increases with cesarean delivery, and untreated thrombosis can cause pulmonary embolism, increasing mortality up to 4% [2]. The most common presenting complaint of OVT is abdominal pain associated with gastrointestinal symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Early diagnosis is very important; abdomen and pelvic CT with intravenous contrast remains the main choice of imaging to successfully differentiate it from and rule out other pathological diseases related to female pelvic anatomy. The treatment of choice is anticoagulation, and the use of antibiotics is also indicated if signs and symptoms of pelvic infection are present [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Basit

Kaur

Villanueva

et al. 2020

Cureus

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Ovarian vein thrombosis (OVT) is a potentially life-threatening condition, and it is typically related to the peripartum period; however, it is also associated with pelvic inflammatory disease, recent pelvic or abdominal surgery, inflammatory bowel disease, thrombophilia, malignancy, and sepsis. Idiopathic isolated OVT is rare and is usually presented as case reports in the medical literature. In this report, we present a case of bilateral OVT in a postmenopausal female with no identifiable risk factors and normal coagulation profile workup to highlight the importance of considering it as a differential diagnosis in female patients presenting with abdominal pain. Early identification can prevent potentially life-threatening complications. Management is often conservative, and the choice of anticoagulation is based on the patient's medical conditions. In this particular scenario, the patient was managed with low molecular weight heparin (LMWH) and transitioned to direct oral anticoagulant (DOAC) before discharge.

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“…The sensitivity of the DUS is around ~50% only [5]. Also, DUS cannot examine the whole length of the ovarian veins [2]. Hence, further imaging modality is warranted.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Basit

Kaur

Villanueva

et al. 2020

Cureus

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“…Importantly, only 2 case reports describe left idiopathic OVT. 4,5 If prompt recognition and immediate treatment is initiated, complications such as pulmonary embolism or sepsis can be avoided. 1…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Left Ovarian Vein Thrombosis

Trang

Kalluri

Bajaj

et al. 2020

Journal of Investigative Medicine High Impact Case Reports

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Ovarian vein thrombosis (OVT) was first described in 1956 and is well known for its association with gynecological malignancy, pregnancy, postpartum, pelvic diseases, surgeries, and other thrombophilic etiologies. Most commonly OVT presents on the right ovarian vein. We report a rare case of a 47-year-old Caucasian female G7P7 with no significant past medical history who presented to the emergency room for acute nonspecific back pain and left lower quadrant pain of 1 day. Imaging with a computed tomography with contrast demonstrated a new left OVT. After a thorough literature review, this is presumed to be the third reported case of idiopathic left OVT.

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Trombosis aguda idiopática no puerperal de la vena ovárica: presentaciónde caso y revisión de la literatura

Ceballos¹,

Manrique²,

Florez³

et al. 2021

Univ. Med.

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La trombosis de la vena gonadal es una enfermedad poco frecuente, asociada a estados de hipercoagulabilidad. Se presenta principalmente en el período postparto, o en menor frecuencia en otras condiciones gineco obstétricas como cesáreas, abortos, neoplasias ginecológicas y en enfermedad pélvica inflamatoria (EPI). Este documento es una revisión de casos de la literatura asociada a un reporte de un caso con presentación no habitual de esta entidad que nos lleva a recordar esta condición como diagnóstico diferencial en dolor abdominopélvico agudo, así como su enfoque diagnóstico y tratamiento en el departamento de emergencias.

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The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

Cited by 15 publications

References 12 publications

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Idiopathic Left Ovarian Vein Thrombosis

Trombosis aguda idiopática no puerperal de la vena ovárica: presentaciónde caso y revisión de la literatura

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