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Enoxaparin for postpartum ovarian vein thrombosis. A case report
Richard H Beigi1, Harold C Wiensenfeld
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh/Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA. rbeigi@mail.magee.edu
Background:
Intravenous heparin is a recognized treatment for ovarian vein thrombosis. Although an effective, less cumbersome alternative exists with lowmolecular-weight heparins, the literature does not contain reports of their use for this condition. We report a case of postpartum ovarian vein thrombosis managed with enoxaparin.
Case:
A 29-year-old woman, gravida 1, para 1001, was readmitted with postpartum endomyometritis. After 5 days of appropriate antibiotics, computed tomography of the abdomen/pelvis demonstrated a right ovarian vein thrombus. Enoxaparin was initiated, resulting in a rapid clinical improvement, and hospital discharge was achieved within 36 hours.
Conclusion:
Enoxaparin treatment for avarian vein thrombosis is an alternative to intravenous heparin that may permit a shorter hospital stay without the need for coagulation profile monitoring.