scholarly journals Postpartum ovarian vein thrombosis manifesting as acute appendicitis: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Christos Tsitlakidis ◽  
Khalil Ibrahim Salim Al Ajmi ◽  
Alya Yousuf Al Madhani ◽  
Adel Hassan Ahmidat
Keyword(s):  
Acute Appendicitis ◽  
Penicillin G ◽  
Ovarian Vein ◽  
Intravenous Contrast ◽  
Surgical Interventions ◽  
Vein Thrombosis ◽  
Abdominal Symptoms ◽  
Renal Hilum ◽  
Group A ◽  
The Right

Abstract Background Postpartum ovarian thrombosis is an uncommon condition. It appears with the nonspecific, predominantly right-sided abdominal symptoms and must be differentiated from other acute visceral conditions. If left untreated, postpartum ovarian thrombosis can have severe consequences, including sepsis, pulmonary embolism, and even death. Momentarily, there are no specific guidelines for postpartum ovarian thrombosis management. We present a case of postpartum ovarian thrombosis admitted to our hospital with symptoms of acute appendicitis. Case presentation  A 39-year-old Omani obese multiparous woman of Afro-Arab origin was admitted with acute symptoms, mainly abdominal pain, fever, and vomiting 1 week postpartum. Clinical picture and biochemical profile did not exhibit a recognizable pattern. Ultrasonography excluded retained products of conception. Computerized scan for abdomen and pelvis with oral and intravenous contrast reported a dilated tubular structure in the right adnexa extending up to the right renal hilum level with surrounding inflammation. Those findings were consistent with the thrombophlebitis of the right ovarian vein. Blood cultures and sensitivity showed group A β-hemolytic streptococci sensitive to penicillin G and clindamycin. The patient was treated successfully with antibiotics and therapeutic anticoagulants and discharged home 3 days later; follow-up was arranged. Conclusion This pathology is an exceptional entity in Oman. Therefore, awareness of this unique condition is required so that clinicians will be vigilant, exploring similar cases with imaging and avoiding unnecessary surgical interventions.

scholarly journals Yersinia Enterocolitis May Mimic Appendicitis: 12 Years of Experience in a Single Tertiary Center

2020 ◽  
Vol 28 (1) ◽  
pp. 26-31
Author(s):  
Sara Fernandes ◽  
Sofia Vasconcelos-Castro ◽  
Cláudia Teixeira ◽  
Miguel Soares-Oliveira
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Risk Factor ◽  
Acute Appendicitis ◽  
Pediatric Population ◽  
Regional Lymph Nodes ◽  
Surgical Interventions ◽  
Abdominal Symptoms ◽  
Tertiary Center ◽  
The Right

<b><i>Introduction:</i></b> <i>Yersinia enterocolitica</i> infection is a zoonotic disease that varies from self-limited gastroenteritis to more severe forms. Its propensity to affect the terminal ileum and to spread to regional lymph nodes explains the potential misdiagnosis with appendicitis. <b><i>Methods:</i></b> We reviewed the <i>Y. enterocolitica</i>infection cases in a pediatric population for the last 12 years. <b><i>Results:</i></b> There were 11 cases of <i>Y. enterocolitica</i> infection in the selected period. Four patients had a suspected surgical diagnosis: 1 intussusception, 3 acute appendicitis. Patients who presented with appendicitis-like features were older, whereas younger children most commonly presented with diarrhea and fever. Ultrasound and abdominal computed tomography (CT) were performed in appendicitis-like patients and ruled out appendicitis in 2 of the 3 cases. The only patient submitted to surgery had abnormal CT findings and an important risk factor for this infection that was not recognized at presentation. <b><i>Conclusion:</i></b> This condition should be considered in patients with known risk factors (such as iron overload) and with the right epidemiological setting when presenting with abdominal symptoms. The suspicion of this diagnosis in these particular cases might obviate unnecessary surgical interventions.

Postpartum ovarian vein thrombosis

2020 ◽  
Vol 19 (5) ◽  
pp. 147-149
Author(s):  
O.V. Papysheva ◽  
◽  
A.E. Voynovskiy ◽  
A.I. Davydov ◽  
M.B. Tairova ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Clinical Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Ovarian Vein ◽  
Large Fragment ◽  
Renal Veins ◽  
Vein Thrombosis ◽  
The Right ◽  
Ovarian Vein Thrombosis

A clinical case of thrombosis of the right ovarian vein in the postpartum period - an extremely rare pathology in which acute appendicitis is often suspected due to the identity of the symptoms of the diseases. Performed laparoscopy, during which a large fragment of a thrombosed vein was excised. Conclusion. Extensive right ovarian vein thrombosis with a normal hemostasiogram could not only not be resolved by anticoagulants, but also potentially spread to the renal veins and inferior vena cava, increasing the risk of pulmonary embolism. Key words: vein dissection, laparoscopy, postpartum period, ovarian vein thrombosis

scholarly journals Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e4
Author(s):  
S Karaisli ◽  
E Selcuk
Keyword(s):  
Deep Vein Thrombosis ◽  
Acute Appendicitis ◽  
Postpartum Period ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Uneventful Recovery ◽  
Surgical Interventions ◽  
Vein Thrombosis ◽  
Pregnancy And Postpartum ◽  
Deep Vein

The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with complaints of abdominal pain and vomiting 20 days after spontaneous vaginal delivery. Physical examination and radiological findings were compatible with acute appendicitis. Preoperative re-examination and re-evaluation of computed tomography revealed concomitant deep vein thrombosis on the right side. The patient underwent laparotomy and a normal appendix and ovaries were found. She had an uneventful recovery. Anticoagulant treatment was administered for six months. Early and correct diagnosis should be established to avoid complications of deep vein thrombosis and prevent unnecessary surgical interventions. Physicians should be aware of deep vein thrombosis in women who present acute appendicitis-like symptoms, especially during pregnancy and in the postpartum period.

scholarly journals Thrombosis of the right ovarian vein, a condition mimicking acute appendicitis

2018 ◽  
Vol 30 (6) ◽  
pp. 269-271
Author(s):  
Kassim Sidibé ◽  
Youssef Alaoui Lamrani ◽  
Abdoulaye Koné ◽  
Badr Alami ◽  
Meryem Boubbou ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Ovarian Vein ◽  
The Right

scholarly journals Abdominal aortic aneurysm and acute appendicitis: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Rubén Peña ◽  
Sergio Valverde ◽  
José A. Alcázar ◽  
Paloma Cebrián ◽  
José Ramón González-Porras ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Perforated Appendicitis ◽  
Case Presentation ◽  
Abdominal Symptoms ◽  
Abdominal Aortic ◽  
The Right ◽  
The Relationship

Abstract Background Abdominal aortic aneurysm and acute appendicitis occur relatively frequently in elderly patients. However, the co-occurrence of the two pathologies is very rare and serious. Case presentation We present the case of an elderly Caucasian patient who was aware of having an abdominal aortic aneurysm but refused treatment and was subsequently admitted to the hospital’s emergency department with acute abdominal symptoms. A computed tomography scan raised the possibility of complication due to the characteristics of the aneurysm. The patient then agreed to emergency surgery. Laparotomy revealed the existence of an acute perforated appendicitis with a significant abscess in the right iliac fossa and an uncomplicated aneurysm. Appendectomy was performed and the abscess drained. The postoperative period passed without complications, and the patient again refused surgery for the aneurysm, which due to its anatomical characteristics was not a candidate for standard endovascular treatment. Conclusions In light of this experience, we review the literature about the relationship between abdominal aortic aneurysm and acute appendicitis.

scholarly journals Postpartum septic pelvic thrombophlebitis and ovarian vein thrombosis after caesarean section: a rare case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qin Shi ◽  
Deborah Shulamite Gandi ◽  
Yurong Hua ◽  
Yi Zhu ◽  
Jinhan Yao ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Bleeding Complications ◽  
Ovarian Vein ◽  
Abdominal Incision ◽  
Vein Thrombosis ◽  
Asian Populations ◽  
Anti Inflammatory ◽  
The Right

Abstract Background Septic pelvic thrombophlebitis (SPT) is a well-recognized but rare puerperal complication that has two types: ovarian vein thrombophlebitis (OVT) and deep septic pelvic thrombophlebitis (DSPT). The present case report describes the clinical and imaging findings of a female patient diagnosed with right ovarian vein infectious thrombophlebitis after caesarean section (C-section). Case presentation A 35-year-old G3P2 female who presented with a foetal vein Galen malformation at 41 weeks of gestation underwent C-section. The patient had high fever after C-section, and anti-inflammatory treatment was not effective within 1 week. An abdominal wall incision haematoma was found, and a second surgery for the removal of the abdominal wall haematoma was performed. The patient was ultimately diagnosed with abdominal incision haematoma and right ovarian vein infectious thrombophlebitis after C-section. We used imipenem and tigecycline to strengthen the anti-inflammatory effects, simultaneously administrating low-molecular-weight heparin and warfarin as anticoagulant therapy. On the 30th day after C-section, the right ovarian vein thrombus disappeared. Conclusion This case illustrates the need to consider the potential relationship between abdominal incision haematoma and ovarian vein thrombophlebitis. Despite advances in the management of venous thromboembolism globally, more data on epidemiology in terms of first incidence, prevalence, recurrence and risk factors, management of bleeding complications, and increased awareness in Asian populations are necessary.

Ovarian vein thrombosis: a rare but not to be forgotten cause of abdominal pain

2021 ◽  
Vol 14 (12) ◽  
pp. e246542
Author(s):  
Matilde Matos Martins ◽  
Carolina Carneiro ◽  
Susana Leitão ◽  
Cristina Costa
Keyword(s):  
Abdominal Pain ◽  
Iliac Fossa ◽  
Vena Cava ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Surgical History ◽  
The Right ◽  
Peripheral Enhancement ◽  
Pelvic Ct Scan ◽  
Ovarian Vein Thrombosis

A healthy 38-year-old woman, with no significant medical or surgical history, was referred to the gynaecology emergency department with acute low quadrant abdominal pain and nausea. On examination, painful palpation of right iliac fossa, abdominal guarding and positive Blumberg’s sign were noted. An abdominal-pelvic CT scan showed a hypodense tubular structure with peripheral enhancement to the right of the inferior vena cava, suggestive of thrombosis of the right ovarian vein. The only risk factor identified was the use of the combined contraceptive pill.

CLINICAL CASE: THROMBOSIS OF THE RIGHT OVARIAN VEIN WITH SPREAD TO THE INFERIOR VENA CAVA IN THE PUERPERAL WOMAN

Vestnik ◽  
2021 ◽  
pp. 5-8
Author(s):  
Г.Ж. Бодыков ◽  
Т.В. Маслов ◽  
Г.Н. Балмагамбетова ◽  
У.А. Хакиев
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Clinical Laboratory ◽  
Vena Cava ◽  
Thrombotic Complication ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Treatment And Prevention ◽  
Abdominal Organs ◽  
The Right

Тромбоз правой яичниковой вены с распространением на нижнюю полую вену является крайне редким, но не казуистическим случаем венозного тромбоза во время беременности. В литературе имеются весьма ограниченные описания отдельных клинических случаев данного тромботического осложнения. Цель: привлечь внимание акушер-гинекологов и ангиохирургов к своевременной диагностике, лечению и профилактике тромбозов в период беременности и в послеродовом периоде. Материалы и методы: С целью диагностики данной патологии было проведено полное клинико-лабораторное обследование, ультразвуковое исследование органов брюшной полости и ультразвуковая допплерография нижней полой вены. Результаты: На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз: Тромбоз правой яичниковой вены с распространением на нижнюю полую вену и флотацией головки тромба. Выводы: Метод селективного тромболизиса при тромбозе правой яичниковой вены с распространением на нижнюю полую вену в сочетании с имплантацией кава-фильтра в нижнюю полую вену в ургентной клинической практике действительно показал себя эффективным методом борьбы с осложнениями тромбозов нижней полой вены. Thrombosis of the right ovarian vein with spread to the inferior vena cava is an extremely rare, but not a casuistic case of venous thrombosis during pregnancy. In the literature, there are very limited descriptions of individual clinical cases of this thrombotic complication. Objective: to attract the attention of obstetricians-gynecologists and angiosurgeons to the timely diagnosis, treatment and prevention of thrombosis during pregnancy and in the postpartum period. Materials and methods: In order to diagnose this pathology, a complete clinical and laboratory examination, ultrasound examination of the abdominal organs and ultrasound Dopplerography of the inferior vena cava were performed. Results: Based on the assessment of the anamnesis, clinical-laboratory and instrumental methods of examination, the diagnosis was made: Thrombosis of the right ovarian vein with spread to the inferior vena cava and flotation of the head of the thrombus. Conclusions: The method of selective thrombolysis for right ovarian vein thrombosis with spread to the inferior vena cava in combination with the implantation of a cava filter in the inferior vena cava in urgent clinical practice has really proved to be an effective method of combating complications of inferior vena cava thrombosis.

scholarly journals Portal Vein Thrombosis

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ronny Cohen ◽  
Thierry Mallet ◽  
Michael Gale ◽  
Remigiusz Soltys ◽  
Pablo Loarte
Keyword(s):  
Liver Disease ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Left Renal Vein ◽  
Splenic Vein ◽  
Young Male ◽  
Medical Community ◽  
Vein Thrombosis ◽  
Abdominal Symptoms ◽  
The Right

Portal vein thrombosis (PVT) is the blockage or narrowing of the portal vein by a thrombus. It is relatively rare and has been linked with the presence of an underlying liver disease or prothrombotic disorders. We present a case of a young male who presented with vague abdominal symptoms for approximately one week. Imaging revealed the presence of multiple nonocclusive thrombi involving the right portal vein, the splenic vein, and the left renal vein, as well as complete occlusion of the left portal vein and the superior mesenteric vein. We discuss pathogenesis, clinical presentation, and management of both acute and chronic thrombosis. The presence of PVT should be considered as a clue for prothrombotic disorders, liver disease, and other local and general factors that must be carefully investigated. It is hoped that this case report will help increase awareness of the complexity associated with portal vein thrombosis among the medical community.

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