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Ovarian Vein Thrombosis Presenting as Acute Abdomen in Puerperium

Flavia Sorbi1, Luca Mannini1, Martina Aldinucci1

  • 1Lecturer, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence , Florence, Italy .

Journal of Clinical and Diagnostic Research : JCDR
|April 5, 2016
PubMed

Postpartum Ovarian Vein Thrombosis (POVT) is a rare, but serious condition that causes slow quadrant pain in the postpartum period. POVT must be considered in the differential diagnosis of postpartum acute abdomen. We hereby report a case on a 36-year-old Italian woman who developed an acute abdomen a week after spontaneous vaginal delivery. She had persistent fever and constipation. Diagnosis of POVT was made with an abdominal Computed Tomography (CT) and treatment with heparin and broad-spectrum antibiotics were started. After 72 hours, the patient was switched from low molecular weight heparin to oral anticoagulant treatment. After 5 months a complete recanalization was demonstrated by abdomen CT and the treatment was stopped 6 months after diagnosis. POVT is a diagnosis of exclusion in the puerperium. This case illustrated that POVT may also occur in low risk patient.

Keywords:
Deep vein thrombosisPostpartumRight ovarian vein

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