Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Ovarian vein thrombosis (OVT) is an extremely rare but life-threatening complication of the postpartum period. It has never been reported as a complication of laparoscopic surgery. We report a case of right ovarian vein thrombosis that occurred in the postoperative period after patient underwent laparoscopic salpingectomy for a right side ectopic pregnancy. She presented with 1-week history of abdominal pain and fever. A complete workup for fever was performed and was found negative. Computed tomography of the abdomen and pelvis revealed right ovarian vein thrombosis. The patient was treated with anticoagulant therapy and responded well.

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Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

Journal of International Medical Research ◽

10.1177/03000605211010649 ◽

2021 ◽

Vol 49 (6) ◽

pp. 030006052110106

Author(s):

Wenrui Li ◽

Saisai Cao ◽

Renming Zhu ◽

Xueming Chen

Keyword(s):

Computed Tomography ◽

Pulmonary Embolism ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Ovarian Vein ◽

Review Of Literature ◽

Vein Thrombosis ◽

Medical Disorder ◽

Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

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Postpartum ovarian vein thrombosis

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2021-0002 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Kelly Ribeiro ◽

Samir Mahboobani ◽

Katherine Van Ree ◽

Katy Clifford ◽

TG Teoh

Keyword(s):

Abdominal Pain ◽

Complete Resolution ◽

Early Recognition ◽

Ovarian Vein ◽

Transabdominal Ultrasound ◽

Case Presentation ◽

Vein Thrombosis ◽

Prompt Treatment ◽

Life Threatening ◽

Ovarian Vein Thrombosis

Abstract Objectives Postpartum ovarian vein thrombosis (POVT) is a rare pathology that can lead to severe complications such as sepsis, extension of the thrombus leading to organ failure, and pulmonary embolism. It therefore requires early recognition and prompt treatment. Case presentation A patient with right POVT presented four days after delivery with acute right-sided abdominal pain and fever. Appendicitis was initially considered, before an abdominal-pelvic computed tomography raised the suspicion of POVT, subsequently confirmed through transabdominal ultrasound. Antibiotics and anticoagulation were initiated, with rapid clinical improvement and complete resolution of the thrombus three months later. Conclusions Diagnosing POVT is challenging as it clinically mimics other more frequent conditions. It is rare but life-threatening and should be considered in all females presenting with abdominal pain and fever in the postpartum period.

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Nonpuerperal Ovarian Vein Thrombosis: A Report of Seven Cases.

Blood ◽

10.1182/blood.v104.11.4038.4038 ◽

2004 ◽

Vol 104 (11) ◽

pp. 4038-4038

Author(s):

Debra Ferman ◽

Thomas P. Bradley ◽

Robin Warshawsky ◽

Steven L. Allen

Keyword(s):

Abdominal Pain ◽

Family History ◽

Vena Cava ◽

Lower Abdominal Pain ◽

Clinical Entity ◽

Ovarian Vein ◽

Symptomatic Disease ◽

Vein Thrombosis ◽

History Of ◽

Ovarian Vein Thrombosis

Abstract Background: Nonpuerperal ovarian vein thrombosis (OVT) is a rare clinical entity. Therapy is not well defined. OVT is usually asymptomatic. Improved CT and MR imaging technology enables OVT to be diagnosed with greater frequency. Nonpuerperal OVT may be a distinct clinical entity. Methods: The medical records of women with nonpuerperal OVT were reviewed and their clinical course and treatment recorded. Cases were identified by scanning a CT computerized database over the past 3 years with the key words ovarian vein thrombosis. Results: 7 patients (pts) were identified. Age range was 38–61, median 51 years. 3 pts had OVT on the left and 4 on the right. OVT followed a procedure in 2 pts. 2 pts with breast cancer developed OVT, 1 during adjuvant tamoxifen and 1 receiving chemotherapy for metastatic disease. 1 pt had AML in CR. 3 pts presented with lower abdominal pain on the involved side and 1 pt had lower abdominal pain on the opposite side. The 3 pts with cancer were asymptomatic. 4 pts had uterine fibroids. 1 developed OVT in the setting of an acute diarrheal illness. 1 pt had prior DVT and 1 a family history of DVT. Only 1 pt had a hypercoagulable evaluation; negative. 2 pts had clot extending to the junction with the inferior vena cava (IVC) and both were anticoagulated with enoxaparin followed by warfarin. 1 pt was anticoagulated with enoxaparin alone. No embolic complications occurred. Conclusion: 4 pts with OVT were symptomatic and 3 were detected incidentally. 2 developed OVT following procedures, 3 had predisposing underlying conditions, and 2 had a personal or family history of thrombosis. Optimum therapy is not defined. Symptomatic disease alone is not an indication for anticoagulation. Anticoagulation may be indicated if clot extends to the IVC.

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Ovarian vein thrombosis: a potential clinical consequence of ruptured ectopic pregnancy

BMJ Case Reports ◽

10.1136/bcr-2020-240940 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240940

Author(s):

David Elliot Teytelbaum ◽

Josh Dean Meade ◽

Jennifer Swanson

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Ectopic Pregnancy ◽

Clinical Consequence ◽

Ovarian Vein ◽

Timely Manner ◽

Vein Thrombosis ◽

Life Threatening ◽

The Right ◽

Ovarian Vein Thrombosis

A healthy 32-year-old G3P3 woman with an unknown last menstrual period presented to the emergency department with intense abdominal pain and pain in the right chest that radiated down the right arm. Further workup showed that she had a ruptured ectopic pregnancy with significant haemoperitoneum. After successful laparoscopic evacuation of the ectopic pregnancy and haemoperitoneum, the patient subsequently developed a right ovarian vein thrombosis 4 weeks after the procedure. She was treated with anticoagulation, and further haematological studies did not show any significant findings. Postpartum ovarian vein thrombosis is extremely rare and can be life- threatening if not accurately diagnosed and treated with anticoagulation or surgical management in a timely manner.

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Postpartum Ovarian Vein Thrombosis: Two Cases and Review of Literature

Case Reports in Medicine ◽

10.1155/2009/101367 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 8

Author(s):

Amos A. Akinbiyi ◽

Rita Nguyen ◽

Michael Katz

Keyword(s):

Computed Tomography ◽

Pelvic Mass ◽

Late Presentation ◽

Postpartum Woman ◽

Ovarian Vein ◽

Review Of Literature ◽

Emergency Department Admission ◽

Vein Thrombosis ◽

Short Period ◽

Ovarian Vein Thrombosis

Introduction. We presented two cases of late presentation of ovarian vein thrombosis postpartum following vaginal delivery and cesarean section within a short period in our institution. Both of them had pelvic pain following their deliveries which was associated with fever and chills. One of them was quite a big-sized thrombophlebitic vein which was about10×6×5centimeters following a computed tomography. They were both treated initially for urinary tract infection, while a large ovarian vein thrombosis was not diagnosed in the second patient until her emergency department admission.Conclusion. Ovarian vein thrombosis is rare, but could present late, and difficult to diagnose, hence, should be considered as a differential diagnosis in a postpartum woman with fever and tender pelvic mass.

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Idiopathic ovarian vein thrombosis: a rare cause of abdominal pain

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2006.01.004 ◽

2006 ◽

Vol 24 (5) ◽

pp. 636-637 ◽

Cited By ~ 10

Author(s):

Christopher S. Murphy ◽

Tania Parsa

Keyword(s):

Abdominal Pain ◽

Ovarian Vein ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

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RIGHT OVARIAN VEIN THROMBOSIS (OVT). A RARE PRESENTATION OF ABDOMINAL PAIN

International Journal of Advanced Research ◽

10.21474/ijar01/12737 ◽

2021 ◽

Vol 9 (4) ◽

pp. 606-609

Author(s):

Rami Khaled Abou El Foul ◽

◽

Amer Abdulmola Albawab ◽

Mohamed Mahmoud Ibrahim Mohamed ◽

Ahmed Ramadan Mohammed Ali Mohammed ◽

...

Keyword(s):

Abdominal Pain ◽

Inflammatory Diseases ◽

Imaging Techniques ◽

Rare Condition ◽

Pelvic Surgery ◽

Ovarian Vein ◽

Rare Presentation ◽

Vein Thrombosis ◽

Threatening Condition ◽

Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare condition occurring in 1/600 to 1/2000 pregnancies mainly in the postpartum setting[1,2]. However,it is a potentially life-threatening condition andcan occur in other circumstances, such as inflammatory diseases of the pelvis, gynecological tumors, after pelvic surgery, during sepsis, hypercoagulable state, or even sometimes without an underlying cause [2]. It is usually manifested by nonspecific abdominal pain, with or without fever, and must be recognized because of its potentially serious complications (pulmonary embolism) [2,5]. Currently, the diagnosis is done earlier thanks to imaging techniques making the prognosis better[3,4].

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Idiopathic bilateral ovarian vein thrombosis

BMJ Case Reports ◽

10.1136/bcr-2020-238243 ◽

2021 ◽

Vol 14 (2) ◽

pp. e238243

Author(s):

Joshua Christy ◽

Divya Jarugula ◽

Kavitha Kesari ◽

Arvind Kunadi

Keyword(s):

African American Woman ◽

Oral Anticoagulants ◽

Vena Cava ◽

American Woman ◽

Pelvic Surgery ◽

Ovarian Vein ◽

Vein Thrombosis ◽

History Of ◽

Inflammatory Bowel ◽

Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a condition most commonly associated with malignancy, hypercoagulable disorders, pelvic surgery, trauma, inflammatory bowel disease and the postpartum period. Idiopathic bilateral OVT is extremely rare. We report the case of a 30-year-old African-American woman who presented with bilateral lower pelvic pain and nausea. She had no recent pelvic infections nor a personal or family history of malignancy or thrombophilia. Workup results for a hypercoagulable state was negative. A CT scan of the abdomen and pelvis revealed bilateral OVT. Treatment included novel oral anticoagulants or warfarin, with comparison studies showing a similar risk–benefit ratio. Repeat imaging is recommended after 40–60 days to determine the necessity for further anticoagulation. Emphasis is placed on starting anticoagulation early in order to reduce the risk of extension of the thrombus into the inferior vena cava, conversion to pulmonary embolism or increase in the risk of infection.

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