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Postpartum ovarian vein thrombophlebitis presenting as vaginal bleeding: A case report
Tsai-Lien Chiang1, Chuan-Yaw Chang2, Jiann Ruey Ong1
1Department of Emergency Medicine.
Rationale:
Postpartum ovarian vein thrombophlebitis (POVT) is a rare condition, and it can lead to severe complications and mortality. Here we report a patient who presented with vaginal bleeding and the diagnosis of POVT was confirmed by imaging.
Patient Concerns:
A 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain.
Diagnoses:
The diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava.
Interventions:
The patient was treated with intravenous antibiotics and low-molecular-weight heparin.
Outcomes:
The patient recovered smoothly without complications.
Lessons:
We should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.
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