Ovarian Vein Thrombosis in Behçet Disease

Tan, Justina Wei Lynn; Howe, Hwee Siew; Chng, Hiok Hee

doi:10.1097/rhu.0b013e318247c187

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…Previously, four case reports on ovarian vein thrombosis were published in Saudi Arabia, two in the postpartum period, and two were idiopathic ( 16 – 20 ). Many prior studies ( 1 , 8 ) established that OVT is most commonly associated with the postpartum period, consistent with our findings. The association of OVT with a postpartum period is related to the hypercoagulability status due to the surge of estrogen during pregnancy and the compression of the gravid uterus on the ovarian vein.…”

Section: Discussionsupporting

confidence: 93%

“…Ovarian vein thrombosis (OVT) is usually associated with different conditions, including thrombophilia, malignancies, sepsis, abdominal and pelvic inflammatory conditions, pregnancy, and post-surgical ( 1 , 2 ). It is rare to find idiopathic OVT, but a few cases have previously been reported in the literature, two of those cases were in Saudi Arabia ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series

AlSheef

Abuzied

Alosaimi

et al. 2022

Front. Cardiovasc. Med.

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BackgroundOvarian vein thrombosis (OVT) is an uncommon condition, occurring in ~1 in every 600–2,000 pregnancies. It is associated with various conditions, including thrombophilia, malignancy, sepsis, intra-abdominal and pelvic inflammatory conditions, pregnancy, and the postpartum period, and specific surgical interventions, particularly gynecological surgeries. Thus, this study aims to identify the associated factors for OVT and elaborate on the standard treatment strategies for its management.MethodsRetrospective data collection was used. Our study consists of 18 patients diagnosed with OVT between 2005 and 2016; the data was collected from the Health Information Management system at King Fahad Medical City, Riyadh, Saudi Arabia using a standard format.ResultsOur study found that OVT involves the right ovarian vein more often than the left and mainly occurs in women during their postpartum period. These patients other associated factor included hypertension, diabetes, and a higher body mass index (BMI) of above 25 kg/m2. The most frequently presenting complaints were abdominal pain and fever. The most common treatment was the administration of enoxaparin (a low molecular weight heparin) for an average duration of one to three months, which resulted in a low recurrence rate of OVT.ConclusionsPhysicians should be vigilant for suspicion of OVT in female patients presenting with lower abdominal pain and fever in their postpartum period. Additionally, it is suggested to use low molecular weight heparin as initial therapy for OVT for one to three months, resulting in a high remission rate.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series

AlSheef

Abuzied

Alosaimi

et al. 2022

Front. Cardiovasc. Med.

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“…4,6-12 In the absence of these risk factors, OVT is exceedingly uncommon. 9,10,13-15 OVT may occur unilaterally or bilaterally (with a predilection for the right ovarian vein) and may be complicated by thrombophlebitis. OVT can also propagate proximally into the renal vein, as occurred in our patient.…”

Section: Discussionmentioning

confidence: 99%

Rivaroxaban for the Long-term Treatment of Spontaneous Ovarian Vein Thrombosis Caused by Factor V Leiden Homozygosity

2014

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This clinical vignette adds to the published literature suggesting that novel oral anticoagulants, such as rivaroxaban, may eventually emerge as an alternative to vitamin K antagonists for the treatment of extra-axial thromboses. Reporting these cases is important because their prevalence is low outside of specialized referral centers, and thus, dissemination of these experiences may help other providers in treating their patients.

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“…The right ovarian vein joins the inferior vena cava (IVC) below the right renal vein, and the left ovarian vein drains into the left renal vein. [1][2][3] The best area to observe the ovarian veins is at the level of the inferior mesenteric artery origin, where both veins are surrounded by retroperitoneal fat. [4][5][6] Moat ovarian vein thromboses occur on the right side (70-90% of cases) and bilateral ovarian vein thrombosis (OVT) occur in 11-14%.…”

Section: Introductionmentioning

confidence: 99%

Acute appendicitis complicated by ovarian vein thrombosis

Talreja,

M. Elsayed

et al. 2023

Int Surg J

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Ovarian vein thrombosis (OVT) is a rare cause of acute abdominal pain and is mainly related to pregnancy and affects approximately 1 in every 2,000 deliveries and abortions. However, this diagnosis should be considered not only in postpartum patients but also in women with pelvic inflammatory disease (PID), malignancy, women who have recent abdominal surgery and who have a known hypercoagulable state. Anticoagulation and antibiotics are the mainstays of treatment for OVT. Complications of OVT include sepsis, the extension of the thrombus to the inferior vena cava and renal veins, and pulmonary embolism. The incidence of pulmonary embolism is reported to be 13.2% and represents the main cause of mortality due to OVT. We report a case of 40-years old female patient presenting with OVT, which was accompanied by acute appendicitis. In this woman, OVT was not related to pregnancy. The patient underwent an appendectomy, which proved positive on histopathology result. Patient symptoms improved after appendectomy with antibiotics and anticoagulation therapy. A month later, a follow-up computed tomography (CT) scan of the abdomen revealed a complete resolution of OVT. OVT, though a rare presentation, should be included in the differential diagnosis for women presenting with acute abdomen. Proper diagnosis and timely management can prevent catastrophic complications. Our case thus highlights the importance of considering the rare diagnosis of OVT with acute appendicitis.

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Ovarian Vein Thrombosis in Behçet Disease

Cited by 5 publications

References 23 publications

Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series

Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series

Rivaroxaban for the Long-term Treatment of Spontaneous Ovarian Vein Thrombosis Caused by Factor V Leiden Homozygosity

Acute appendicitis complicated by ovarian vein thrombosis

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