Publication: Complete Right Ovarian Vein Thrombosis Extending to the Inferior Vena Cava during Early Postpartum Period in a Low Risk Patient
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Postpartum ovarian vein thrombosis is rare but life-threatening complication of
puerperium. It predominantly occurs in the right side of the abdomen, mimicking
various other conditions like acute appendicitis, ureteral stones or tubo-ovarian
abscess. It is imperative to envisage the possibility of this rare disease even in
an uncomplicated pregnancy. Here, we reported a 28-year-old female with no
significant underlying risk factors who presented with high-grade fever and right
lower abdominal pain after four days of an uncomplicated cesarean delivery. A
right-sided complete ovarian vein thrombosis extending to the inferior vena cava
was diagnosed and subsequently managed with long-term anticoagulant therapy.
She had an uneventful recovery, with repeat imaging after three months showing
complete resolution of thrombus.
KEY WORDS
Ovarian vein thrombosis, Postpartum, Pregnancy complications
Description
Fatema N,1 Acharya Y,2 Dahal R,3 Sayed A,2 Al Yaqoubi HN1
1Department of Obstetrics and Gynaecology,
Ibri Regional Hospital, Sultanate of Oman.
2Department of Epidemiology, Preventive and
Evidence-based Medicine
Avalon University School of Medicine,
Curacao, Netherlands Antilles.
3Departmental of Internal Medicine
Saint Peter’s University Hospital,
New Jersey, USA
Keywords
Ovarian vein thrombosis, Postpartum, Pregnancy complications