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Post-partum ovarian vein thrombosis
L Warde1, E W McDermott, A D Hill
1Department of Surgery, University College Dublin and St Vincent's University Hospital, Ireland.
Journal of the Royal College of Surgeons of Edinburgh
|August 29, 2001
Summary
Post-partum ovarian vein thrombosis (POVT) is rare but can cause acute abdominal pain. Early diagnosis via noninvasive methods is key to effective treatment and avoiding surgery.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Post-partum ovarian vein thrombosis (POVT) is an uncommon condition.
- Its exact incidence remains unknown.
- POVT often presents as right iliac fossa pain within 10 days of delivery.
Observation:
- Three challenging cases of POVT were referred to the unit.
- Clinical diagnosis of POVT can be difficult.
- These cases highlight the need to consider POVT in postpartum acute abdomen differential diagnoses.
Findings:
- Anti-coagulation and intravenous antibiotics are standard treatments.
- POVT can be diagnosed accurately using noninvasive investigations.
- Laparotomy can be avoided with prompt and correct diagnosis.
Implications:
- Increased awareness of POVT is crucial for timely diagnosis.
- Noninvasive imaging plays a vital role in managing POVT.
- Appropriate diagnostic strategies can prevent unnecessary surgical interventions.