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Postpartum ovarian vein thrombosis.
Giancarlo Basili1, Nicola Romano, Marco Bimbi
1Health Unit 5 Pisa, Pontedera Hospital, General Surgery Unit, Via Roma 180, Pontedera, Italy, 56025. basili.giancarlo@acoi.it
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 10, 2011
Summary
Postpartum ovarian vein thrombosis (OVT) is a rare complication. Early recognition and treatment are crucial for preventing serious sequelae in women presenting with abdominal pain and fever.
Area of Science:
- Reproductive Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Ovarian vein thrombosis (OVT) is a rare postpartum complication, affecting 0.05%-0.18% of pregnancies.
- The condition predominantly occurs on the right side (80%-90% of cases).
Observation:
- A 32-year-old woman presented 15 days postpartum with severe abdominal pain, fever, and distension.
- Initial diagnosis suggested acute appendicitis; however, laparoscopy revealed right ovarian vein thrombosis.
- Imaging, including ultrasound and CT scan, confirmed thrombosis extending to the vena cava.
Findings:
- Laparoscopic ultrasound confirmed ovarian vein thrombosis.
- Anticoagulation and antibiotics were initiated, leading to patient stabilization.
- The patient was discharged on postoperative day 4 and remained symptom-free at 1-month follow-up.
Implications:
- OVT requires prompt recognition and treatment to prevent severe complications.
- Diagnostic tools include ultrasound, CT scan, and MRI, though ultrasound may be limited by bowel gas.
- OVT should be considered in postpartum women with lower abdominal pain, fever, and leukocytosis.
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