Thrombophlébite de la veine ovarienne du post-partum

Postpartum Ovarian Vein Thrombophlebitis with Staphylococcal Bacteremia

“…About 90% of reported cases are unilateral and right sided. Some authors proposed a retrograde flow in left ovarian vein during late pregnancy which would protect it against ascending infection [5]. …”

Postpartum ovarian vein thrombophlebitis: Report of a case and review of the literature

“…It arises out of the coincident conditions of venous stasis and hypercoagulability, which are commonly present in the recently postpartum patient. Other conditions that are associated with hypercoagulability, such as recent surgery, malignancy and Crohn's disease also increase the patient's risk for ovarian vein thrombosis[156]. Post partum ovarian thrombophlebitis (POVT) occurs in 1/2000 to 1/600 of pregnancies and 1/800 of caesarean[235–7].…”

“…The pathophysiology of POVT is related to the Virchow triad: the veinous stasis and hypercoagulability that commonly accompany the puerperium with superimposed injury to the vein wall usually caused by uterine infection[36]. In fact, pregnancy is a hypercoagulate state in which there is increased platelet adhesion and decreased fibrinolysis coupled with increasing levels of factors particularly the fibrinogen, factor VIII and Will Brand factor (VWF).…”

“…In fact, pregnancy is a hypercoagulate state in which there is increased platelet adhesion and decreased fibrinolysis coupled with increasing levels of factors particularly the fibrinogen, factor VIII and Will Brand factor (VWF). In addition to these modifications which limit maternal blood loss at delivery, the relative venous stasis at the vena cava due to uterine compression can predispose pregnant women to thromboembolism[69]. …”

“…Approximately 90% of the cases reported were unilateral and right-sided[16811]. Several physiologic and anatomic factors are mentioned.…”