Postpartum Ovarian Vein Thrombosis: An Update

Kominiarek, Michelle A.; Hibbard, Judith U.

doi:10.1097/01.ogx.0000216564.53044.f1

Cited by 90 publications

(117 citation statements)

References 21 publications

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“…If misdiagnosed, OVT can lead to potentially fatal complications such as sepsis and pulmonary embolism. [Benfayed et al 2003;Kominiarek and Hibbard, 2006;Maldjian and Zurlow, 1997;Wysokinska et al 2006].…”

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Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis

Harris

Mehta

Iskhakov

et al. 2012

Therapeutic Advances in Hematology

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confidence: 99%

“…The incidence of pulmonary embolism is approximately 25% in patients with untreated OVT and the mortality in these patients can reach about 4% [Benfayed et al 2003;Dunnihoo et al 1991;Kominiarek and Hibbard, 2006]. Other serious complications include septic thrombophlebitis and, rarely, infectious emboli [Dessole et al 2003;Heavrin and Wrenn, 2008].…”

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confidence: 99%

Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis

Harris

Mehta

Iskhakov

et al. 2012

Therapeutic Advances in Hematology

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“…The right sided predominance has been attributed to the retrograde flow of venous blood down the left ovarian vein and up the right ovarian vein. 8,9 Also, the right vein has a longer course that may result in compression due to dextrorotation of the uterus during pregnancy. 80% of the patients present with a history of fever and 55% present with pain in the right iliac fossa 10 alongwith leukocytosis.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Vein Thrombosis; A Case Report

Younis

2017

TPMJ

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“…Blood fl ow in the ovarian vein rapidly decreases right after delivery [5]. The OVT, which is not associated with pregnancy, also is predominantly occurred in the right ovarian vein [3,7]. Ovarian veins have enor- …”

Section: Discussionmentioning

confidence: 99%

A case of ovarian vein thrombosis with acute pelvic inflammatory disease

Huh

Lee

Jeon

et al. 2011

Korean J Obstet Gynecol

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When a women patient presents to the hospital with lower abdominal pain, the accurate diagnosis of ovarian vein thrombosis (OVT) could be easily delayed because it is a rare cause. This diagnosis should be considered not only in postpartum patients but also in women with pelvic infl ammatory disease (PID). We report a case of OVT along with PID, which is detected by a computed tomography scan and treated successfully with anticoagulation therapy.Keywords: Ovarian vein; Thrombosis; Pelvic infl ammatory disease CASE REPORT Received: 2011. 5.11. Revised: 2011. 7.27. Accepted: 2011 Ovarian vein thrombosis (OVT) is a rare cause of acute abdominal pain, and it affects approximately 1 in 2,000 deliveries or abortion [1]. However, this diagnosis should be considered not only in postpartum patients but also in women with pelvic infl ammatory disease (PID), with malignancy, who went through recent abdominal surgery, or has known hypercoagulable state [2]. Common symptoms of OVT are fever, nausea, vomiting, chills, lower abdominal pain, tachycardia, and fl ank pain. The clinical manifestations are variable from asymptomatic and dull abdominal pain to sepsis, pulmonary embolism and life threatening events. The complications of OVT can be significant, so careful diagnosis, which is based on computed tomography (CT), color Doppler ultrasonography and magnetic resonance imaging (MRI), is important [3]. Differential diagnosis must be included appendicitis, peritonitis, adnexal torsion, tubo-ovarian abscess, ectopic pregnancy, intussusception, and pyelonephritis [1]. We report a case of a patient presenting with OVT which is accompanied with PID, and review the diagnostic and therapeutic options for this disease. Case ReprotA 27-year-old healthy nulliparous woman was visited Gangnam Severance Hospital emergency department with one day of aggravating right lower quadrant pain. The past medical history and review of systems were not remarkable. There was no family history of hypercoagulable state. Transvaginal ultrasound was within normal range. The abdomino-pelvic CT revealed mild pelvic ascites with smooth peritoneal thickening which is suggesting PID. She was admitted to gynecologic department under the impression of PID and received an intravenous aminoglycoside and metronidazole for 8 days as a empirical antibiotic treatment. She had vaginal discharge and the result of cervical culture was positive for gardnerella and chlamydia. The patient was discharged after 8 days hospital stay with mild improvement in her symptom. She was to continue 1 week of oral aminoglycoside and metronidazole. After 5 days, she revisited emergency department for recurrent abdominal pain, which is more aggravated and localized at right lower quadrant area. On physical examination, the patient had

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Postpartum Ovarian Vein Thrombosis: An Update

Cited by 90 publications

References 21 publications

Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis

Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis

Ovarian Vein Thrombosis; A Case Report

A case of ovarian vein thrombosis with acute pelvic inflammatory disease

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