J Clin Obstet Gynecol Infertil | Volume 3, Issue 2 | Case Report | Open Access

Postpartum Ovarian Vein Thrombosis: Clinical Case

Ana Ribeiro^1*, 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, Portugal

^*Correspondance to: Ana Ribeiro 

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Abstract

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.

Keywords:

Ovarian vein thrombosis; Thrombosis; Anticoagulation; Postpartum

Citation:

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..