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

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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Ovarian Vein Thrombosis Complicated by Pulmonary Embolism after Cesarean Delivery in the Presence of a Large Fibroid: Case Report and Literature Review of Contributing Factors

Case Reports in Obstetrics and Gynecology ◽

10.1155/2021/6389713 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Elie S. Finianos ◽

Stephanie F. Yacoub ◽

Mary F. Chammas

Keyword(s):

Pulmonary Embolism ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Cesarean Delivery ◽

Anticoagulation Therapy ◽

Ovarian Vein ◽

Contributing Factors ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

Ovarian vein thrombophlebitis is rare and mostly occurs during the puerperal period and in higher rates after a cesarean delivery. The objective of this case report and literature review is to highlight the rare occurrence of an ovarian vein thrombosis in a 37-year-old woman postcesarean delivery in the setting of a large uterine fibroid who subsequently developed a pulmonary embolism. The patient presented with severe abdominal pain, fever, and chills. Imaging showed a right ovarian vein thrombosis. Following initiation of anticoagulation therapy, she developed dyspnea and testing showed a subsegmental pulmonary embolism. Further investigation showed that the patient had an undiagnosed thrombophilia thus meeting the classic Virchow triad. Complete clinical recovery was observed, and anticoagulation therapy was continued for 1 year. Our case highlights the importance of recognizing ovarian vein thrombosis because of the risk of fatal complications such as pulmonary embolus. The presence of large fibroids should raise our awareness for OVT in the setting of abdominal pain and fever. The absence of complications in previous pregnancies should not alter our clinical suspicion.

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Pulmonary embolism caused by ovarian vein thrombosis during cesarean section: a case report

JA Clinical Reports ◽

10.1186/s40981-017-0142-1 ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 2

Author(s):

Yutaka Oda ◽

Michie Fujita ◽

Chika Motohisa ◽

Shinichi Nakata ◽

Motoko Shimada ◽

...

Keyword(s):

Pulmonary Embolism ◽

Case Report ◽

Cesarean Section ◽

Ovarian Vein ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

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Postpartum inferior vena cava and ovarian vein thrombosis – A case report and literature review

Journal of Obstetrics and Gynaecology ◽

10.1080/01443610500106835 ◽

2005 ◽

Vol 25 (3) ◽

pp. 312-313 ◽

Cited By ~ 16

Author(s):

D Sinha ◽

H Yasmin ◽

JS Samra

Keyword(s):

Case Report ◽

Literature Review ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Ovarian Vein ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

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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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