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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Puerperal ovarian vein thrombosis: two case reports.
Marta Angelini1, Giovanni Barillari, Ambrogio P Londero
1Clinic of Obstetrics and Gynecology, AOU Santa Maria della Misericordia, Udine, Italy.
Journal of Thrombosis and Thrombolysis
|August 15, 2012
Summary
Ovarian vein thrombosis (OVT) is a rare but serious postpartum complication. Early diagnosis and treatment, including anticoagulation and thrombectomy, are crucial for managing this condition.
Area of Science:
- Vascular Surgery
- Obstetrics & Gynecology
- Radiology
Background:
- Ovarian vein thrombosis (OVT) is an uncommon yet significant complication that can arise in the early postpartum period.
- Prompt recognition and management are essential due to its potential severity.
Observation:
- Case 1: A 24-year-old woman presented with abdominal pain, vomiting, and diarrhea five days after vaginal delivery, revealing a 2.5-cm OVT extending into the inferior vena cava.
- Case 2: A 31-year-old woman, post-cesarean delivery for preeclampsia, developed anemia and was found to have a 1-cm OVT extending to the inferior vena cava, complicated by hemoperitoneum and respiratory distress.
Findings:
- Both cases involved significant OVT with extension into the inferior vena cava, necessitating distinct management strategies.
- Case 1 was managed conservatively with anticoagulation (nadroparin and warfarin).
- Case 2 required surgical intervention, including exploratory laparotomy, blood transfusion, IVC filter placement, and AngioJet thrombectomy for pulmonary embolism.
Implications:
- These cases highlight the varied presentations and management complexities of postpartum OVT.
- Effective treatment requires a multidisciplinary approach, integrating radiological and surgical interventions when necessary.
- Raising awareness of OVT is critical for timely diagnosis and improved patient outcomes in obstetrics and gynecology.
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