Related Experiment Video
Updated: Jul 14, 2026
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
13.7K
Postpartum ovarian vein thrombosis: a case report
Zeinab El Mawla1, Bilal Damen2
1Faculty of Medicine, Department of Pulmonary and Critical Care, Lebanese University.
Annals of Medicine and Surgery (2012)
|June 26, 2023
Summary
Ovarian vein thrombosis (OVT) is a rare condition presenting with pelvic pain and fever, often in the postpartum period. Early diagnosis and anticoagulant treatment are crucial for managing this potentially fatal complication.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Radiology
Background:
- Ovarian vein thrombosis (OVT) is an uncommon condition typically diagnosed postpartum.
- Symptoms include pelvic pain, fever, and abdominal mass, necessitating prompt recognition.
- OVT can lead to severe complications if not managed effectively.
Purpose of the Study:
- To present a case of OVT in a patient with preterm premature rupture of membranes and Cesarean section complications.
- To highlight the diagnostic and management strategies for OVT in a non-postpartum context.
Main Methods:
- Case report of a 30-year-old female with preterm premature rupture of membranes.
- Management involved Cesarean section, intrauterine balloon tamponade, uterine artery embolization, and anticoagulation.
- Diagnosis confirmed via abdominal and pelvic computed tomography (CT) scan.
Main Results:
- The patient developed new-onset right lower quadrant abdominal pain post-Cesarean section.
- CT scan revealed Ovarian Vein Thrombosis (OVT).
- Anticoagulant therapy was initiated, leading to patient discharge.
Conclusions:
- OVT can occur in diverse clinical scenarios beyond the typical postpartum period.
- Multimodality imaging, including CT, is effective for OVT diagnosis.
- Anticoagulation is a primary treatment modality for OVT, with generally low mortality.
Related Concept Videos
01:26Varicose Veins I: Introduction
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...