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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
Ovarian vein thrombosis is rare but can occur after first-trimester abortions. This case highlights an atypical presentation managed successfully with anticoagulation and antibiotics.
Area of Science:
- Reproductive medicine
- Vascular surgery
- Diagnostic imaging
Background:
- Ovarian vein thrombosis (OVT) is typically seen postpartum or post-pelvic surgery.
- OVT is considered uncommon following first- and second-trimester abortions.
Observation:
- A 24-year-old woman presented with right lower quadrant pain 9 days after an elective abortion at 13 weeks' gestation.
- Clinical examination revealed rebound tenderness with a normal white blood cell (WBC) count.
- Computed tomography (CT) confirmed ovarian vein thrombosis.
Findings:
- The patient's ovarian vein thrombosis demonstrated significant improvement following treatment with anticoagulation and antibiotics.
- This case suggests that ovarian vein thrombosis can manifest atypically after elective first-trimester abortion.
Implications:
- Clinicians should consider ovarian vein thrombosis in the differential diagnosis of abdominal pain post-abortion.
- Early diagnosis and management with anticoagulation and antibiotics are crucial for favorable outcomes.
- Further research may elucidate the incidence and risk factors for OVT in this population.
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