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Postpartum left ovarian vein thrombosis.
Sisay Tesfaye1, Mequanent Tariku2, Agete Tadewos Hirigo3
1Department of Internal Medicine, School of Medicine, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
SAGE Open Medical Case Reports
|October 16, 2020
Summary
Left ovarian vein thrombosis, a rare postpartum complication, presents with fever and abdominal pain. Prompt diagnosis and anticoagulant treatment are crucial for successful management and preventing complications.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Radiology
Background:
- Left ovarian vein thrombosis (LOVT) is an uncommon thrombotic event, typically observed in the postpartum or postoperative periods.
- It presents a diagnostic challenge, often mimicking other gynecological emergencies.
Observation:
- A 25-year-old postpartum woman presented with a two-week history of fever and left-sided abdominal pain.
- Initial diagnosis suggested an adnexal mass due to suspected ovarian cyst torsion, leading to laparotomy.
- Intraoperative findings revealed a left broad ligament mass extending to the retroperitoneum.
Findings:
- Postoperative Doppler ultrasound confirmed left ovarian vein enlargement filled with hypoechoic and intermediate echogenicity thrombi.
- The patient was successfully treated with anticoagulants and broad-spectrum antibiotics.
Implications:
- This case underscores the importance of a high index of suspicion for LOVT in patients with postpartum fever and abdominal pain.
- Early diagnosis and prompt anticoagulation are vital for managing LOVT and averting potential complications.
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