Ana Ribeiro1*, Rafael Brás2, Maria Lúcia Moleiro2, António Braga2 and Jorge Braga2
1Department of Obstetrics and Gynecology, Centro Hospitalar do Baixo Vouga, Portugal 2Department of Obstetrics and Gynecology, Centro Materno Infantil do Norte, PortugalFulltext PDF
Ovarian Vein Thrombosis (OVT) is a rare but potentially serious postpartum complication, which occurs in 0.05% to 0.18% of pregnancies and is diagnosed on the right side in 80% to 90% of the cases. As OVT can mimic acute abdomen it should be considered in the differential diagnosis of postpartum acute abdomen. We present a case of a 29-year-old female who presented a diffuse abdominal pain, fever and vomit on her third postpartum day. Her computed tomography demonstrated left ovarian vein repletion defect compatible with the presence of a thrombus. She was treated with enoxaparin and antibiotics, which lead to a resolution of the thrombus. Our case highlights the importance of prompt diagnosis and treatment of OVT in order to prevent morbidity and mortality.
Ovarian vein thrombosis; Thrombosis; Anticoagulation; Postpartum
Ribeiro A, Brás R, Moleiro ML, Braga A, Braga J. Postpartum Ovarian Vein Thrombosis: Clinical Case. J Clin Obstet Gynecol Infertil. 2019; 3(2):1044..