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Ovarian vein thrombosis after elective abortion
S Sreenarasimhaiah1, R McAlister
1Department of Obstetrics and Gynecology, Washington University/Barnes-Jewish Hospital, St. Louis, Missouri 63110, USA. sreenarasimhaiahs@msnotes.wustl.edu
Background:
Ovarian vein thrombosis has been described postpartum and after pelvic surgery, but is uncommon in first- and second-trimester abortions.
Case:
A 24-year-old woman, para 1011, presented 9 days after an uneventful elective abortion at 13 weeks' gestation with right lower quadrant abdominal pain, rebound tenderness and a normal white blood cell (WBC) count. Computed tomography (CT) showed ovarian vein thrombosis that improved with anticoagulation and antibiotics.
Conclusion:
Ovarian vein thrombosis might occur after elective first-trimester abortion and have an atypical presentation.
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