The natural history and treatment outcomes of symptomatic ovarian vein thrombosis

Labropoulos, Nicos; Malgor, Rafael D.; Comito, Matthew; Gasparis, Antonios P.; Pappas, Peter J.; Tassiopoulos, Apostolos K.

doi:10.1016/j.jvsv.2014.07.008

Cited by 28 publications

(28 citation statements)

References 18 publications

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“…The association of ovarian vein thrombosis with post-partum period is related to the hypercoagulability status due to the surge of estrogen during pregnancy in addition to the compression of the gravid uterus on the ovarian vein. OVT can also develop post pelvic surgeries [5]. OVT usually presents with fever, pelvic pain, and right-sided abdominal mass in pregnant patients [3].…”

Section: Discussionmentioning

confidence: 99%

The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

Alalqam

Abbas

Abualsaud

et al. 2019

International Journal of Surgery Case Reports

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Highlights Ovarian vein thrombosis is rare, but a life-threatening condition. It is rarer in non-pregnant women and in patients without history of recent pelvic surgery as the case in our patients. The most commonly involved vein is the right ovarian vein, although in our case the left ovarian vein was affected. Diagnosis of ovarian vein thrombosis can be by CT scan or MRI but the initial modality should be doppler ultrasound.

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Section: Discussionmentioning

confidence: 99%

The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

Alalqam

Abbas

Abualsaud

et al. 2019

International Journal of Surgery Case Reports

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“…38 Pelvic congestion syndrome occurred in three (13.0%) patients, while mortality in four (17.4%) patients and was mainly due to underlying malignancy. 38 In the large cohort study by Assal et al, 22 (9.9%) out of 223 patients with OVT experienced recurrent VTE (18 episodes of DVT and 4 PE) during a median follow-up of 2.3 years. 13 Overall survival was lower in patients with recurrent VTE compared with those without recurrent events (p ¼ 0.001).…”

Section: Prognosismentioning

confidence: 97%

“…21 Coexistence of PE was found in approximately 10% of women with OVT. 5,8,38 It has been reported that PE is less common in OVT than lower limb DVT (being present in 6 vs. 16%, respectively, at the time of OVT diagnosis, p ¼ 0.001). 5 However, the presence of an acute PE during puerperium without any evidence of DVT in the lower limbs should raise the suspicion of OVT and prompt appropriate investigations.…”

Section: Prognosismentioning

confidence: 98%

Ovarian Vein Thrombosis: A Narrative Review

Riva

Calleja‐Agius

2020

Hamostaseologie.

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Ovarian vein thrombosis (OVT) is a rare type of venous thromboembolism. The most common risk factors for OVT include pregnancy, oral contraceptives, malignancies, recent surgery, and pelvic infections; however, in 4 to 16% of cases, it can be classified as idiopathic. Most of the available information regards pregnancy-related OVT, which has been reported to complicate 0.01 to 0.18% of pregnancies and to peak around 2 to 6 days after delivery or miscarriage/abortion. The right ovarian vein is more frequently involved (70–80% of cases). Clinical features of OVT include abdominal pain and tenderness, fever, and gastrointestinal symptoms. The most typical finding is the presence of a palpable abdominal mass, although reported in only 46% of cases. OVT can be the cause of puerperal fever in approximately a third of women. Ultrasound Doppler is the first-line imaging, because of its safety, low cost, and wide availability. However, the ovarian veins are difficult to visualize in the presence of bowel meteorism or obesity. Thus, computed tomography or magnetic resonance imaging is often required to confirm the presence and extension of the thrombosis. In oncological patients, OVT is often an incidental finding at abdominal imaging. Mortality related to OVT is nowadays low due to the combination treatment of parenteral broad-spectrum antibiotics (until at least 48 hours after fever resolution) and anticoagulation (low-molecular-weight heparin, vitamin K antagonists, or direct oral anticoagulants). Anticoagulant treatment duration of 3 to 6 months has been recommended for postpartum OVT, while no anticoagulation has been suggested for incidentally detected cancer-associated OVT.

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“…Ovarian vein thrombosis (OVT) is occasionally diagnosed during the postpartum period or in patients with ovarian malignancy [1,2]. Few cases of pulmonary thromboembolism (PTE) caused by OVT have been reported previously [3,4].…”

Section: Introductionmentioning

confidence: 99%

Fatal pulmonary thromboembolism caused by idiopathic ovarian vein thrombosis

Ogiwara

Ozaki

Nishino

et al. 2021

Respirology Case Reports

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Ovarian vein thrombosis (OVT) is observed in the field of obstetrics and gynaecology. It is occasionally diagnosed during the postpartum period or in patients with ovarian malignancy. Few cases of pulmonary thromboembolism (PTE) caused by OVT have been reported previously. We report the case of a 67‐year‐old woman who presented with fatal PTE due to left OVT during hospitalization for cerebral infarction. The left ovary of the postmenopausal elderly patient showed no tumorous appearance. This case of OVT is extremely rare because of its idiopathic nature and fatal result.

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The natural history and treatment outcomes of symptomatic ovarian vein thrombosis

Cited by 28 publications

References 18 publications

The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report

Ovarian Vein Thrombosis: A Narrative Review

Fatal pulmonary thromboembolism caused by idiopathic ovarian vein thrombosis

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