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Postpartum ovarian veins thrombophlebitis
I Govaerts1, P Braude, J De Paepe
1Department of Obstetrics and Gynecology, CUB Erasme, Bruxelles, Belgium.
Summary
Puerperal ovarian vein thrombophlebitis (POVT) is a rare postpartum complication affecting about 0.05% of women. Computed tomography aided in diagnosing this condition, characterized by abdominal pain and fever unresponsive to antibiotics.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Radiology
Background:
- Puerperal ovarian vein thrombophlebitis (POVT) is a rare but serious postpartum complication.
- It occurs in approximately 0.05% of deliveries and can arise after various pregnancy types.
- Symptoms often include abdominal pain and fever refractory to antibiotic treatment.
Observation:
- This case report details a patient diagnosed with POVT.
- The diagnostic process relied heavily on computed tomography (CT) imaging.
- CT scans proved crucial in identifying the ovarian vein thrombosis.
Findings:
- Computed tomography is an effective tool for diagnosing puerperal ovarian vein thrombophlebitis.
- The imaging findings correlated with the clinical presentation of pain and fever.
- Early diagnosis via CT can facilitate timely management.
Implications:
- Highlights the utility of CT in diagnosing POVT when clinical signs are ambiguous.
- Emphasizes the importance of considering POVT in postpartum patients with persistent abdominal pain and fever.
- Suggests CT should be a key diagnostic modality for suspected POVT.