2015, Number 08
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Ginecol Obstet Mex 2015; 83 (08)
Postpartum left ovarian vein thrombosis: case report and literature review
del Valle RC, Solano-Calvo JA, González-Hinojosa J, Valenzuela-Ruiz P, Marcos-González V, Zapico-Goñi Á
Language: Spanish
References: 15
Page: 499-504
PDF size: 409.63 Kb.
ABSTRACT
Background: Ovarian Vein Thrombosis is an uncommon complication of the puerperium. Its unspecific clinical presentation and its low incidence make it difficult to diagnose.
Case report: A 36- year-old pregnant woman has a vaginal delivery at 39+2 weeks of gestation and develops left lumbar pain irradiated to the left iliac fossa. She is diagnosed of left ovarian vein thrombosis by sonography and TC and receives anticoagulant treatment.
Discussion: A high index of suspicion is the key to a correct diagnosis and treatment. Confirmation with modern imaging methods is crucial for the diagnosis and treatment nowadays.
Conclusion: The best results and lower rate of complications are achieved with an early diagnosis and anticoagulant treatment.
REFERENCES
Brown TK. Puerperperial ovarian vein thrombophlebitis: a syndrome. Am J Obstet Gynecol 1971;109:263.
Dunnihoo DR, Gollaspy JW, Wise RB, et al. Postpartum ovarian vein thrombophlebitis: a review. Obstet Gynecol Surv 1991;46:415-417.
Prieto- Nieto MI, Pérez-Robledo JP, Rodríguez-Montes JA, Garci-Sancho-Martín L. Accute apendicitis-like symptoms as initial presentation of ovarian vein thrombosis. Ann Vasc Surg 2004;18:481-483.
Baran GW, Frisch KM. Duplex Doppler evaluation of puerperal ovarian vein thrombosis. Am J Roentgenol 1987;149:321-322.
Kominiarek MA, Hibbard JU. Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv 2006;61:337-42.
Akinbiyi A, Nguyen R, Katz M. Postpartum Ovarian Vein Thrombosis: Two Cases and Review of Literature. Case Report Med 2009;101367:1-4.
González- Bosquet E. Ovarian vein thrombosis. Risk factors, diagnosis and treatment. Medicina (B Aires) 2009;69:347-9.
Salomon O, Apter S, Shaham D, et al. Risk factors associated with postpartum ovarian vein thrombosis. Thomb Haemost 1999;82:1015-1019.
Basili G, Romano N, Bimbi M, Lorenzetti L, Piedrasante D, Goletti O. Postpartum Ovarian Vein Thrombosis. JSLS 2011;15:268- 271.
Virmani V, Kaza R, Sadaf A, Fasih N, Fraser-Hill M. Ultrasound, Computed Tomography, and Magnetic Resonance Imaging of Ovarian Vein Thrombosis in Obstetrical and Nonobstetrical Patients. Can Assoc Radiol J 2012;63:109-118.
Takach T, Cervera R, Gregoric I. Ovarian vein and caval thrombosis. Tex Heart Inst J 2005;32:579-582.
Sinha D, Yasmin H, Samra JS. Postpartum inferior vena cava and ovarian vein thrombosis: a case report and literature review. J Obstet Gynaecol 2005;25,3:312-313.
Gakhal MS, Levy HM, Spina M, Wrigley C. Ovarian vein thrombosis: analysis of patient age, etiology and side of involvement. Del Med J 2013;85:45-50.
Royo P, Alonso-Burgos A, García-Manero M, Lecumberri R, Alcazar JL. Postpartum ovarian vein thrombosis after cesarean delivery: a case report. Journal of Medical Case Reports 2008;2:15.
Witlin AG, Sibai BM. Postpartum ovarian vein thrombosis after vaginal delivery: a report of 11cases. Obstet Gynecol 1995;85:775-780.