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[Postpartum ovarian vein thrombosis]

U Göretzlehner1, B Harksel, L C Horn

  • 1Abteilung für Gynäkologie und Geburtshilfe am Kreiskrankenhaus Torgau.

Zeitschrift Fur Geburtshilfe Und Neonatologie
|May 1, 1997
PubMed
Summary

A rare case of ovarian vein thrombosis was diagnosed in a postpartum woman presenting with abdominal pain. Prompt diagnosis and anticoagulation therapy led to successful treatment.

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Area of Science:

  • Reproductive Medicine
  • Vascular Surgery
  • Gynecologic Oncology

Background:

  • Ovarian vein thrombosis is a rare but serious postpartum complication.
  • It can mimic other gynecologic emergencies, such as ovarian torsion.
  • Early diagnosis and management are crucial to prevent complications.

Observation:

  • A 28-year-old woman presented on postpartum day 7 with right lower quadrant abdominal pain.
  • Initial diagnosis suggested a unilateral rotating ovarian tumor.
  • Imaging and laparoscopy were performed for diagnosis and surgical planning.

Findings:

  • Histological examination revealed ovarian vein thrombosis.
  • Surgical intervention involved right adnexectomy via laparotomy.
  • The condition was successfully managed with anticoagulation and antibiotics.

Implications:

  • Highlights the importance of considering ovarian vein thrombosis in postpartum abdominal pain.
  • Demonstrates the effectiveness of anticoagulation and antibiotic therapy in managing this condition.
  • Emphasizes the multidisciplinary approach in diagnosing and treating rare gynecological emergencies.

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