DEEP VEINS THROMBOSIS MIMICKING AN INFECTION IN A POSTPARTUM WOMAN

Ovarian Vein Thrombosis (OVT) is a rare, yet a serious complication, especially if it extends to an inferior cava vein. OVT can occur at any stage, but it mostly occurs during the postpartum period. Diagnosis is not often immediately apparent, and many other diseases can mimic this condition. Exclusion of any infectious etiologic cause in a postpartum patient with fever is the first step in establishing an OVT diagnosis. It can be accurately diagnosed by appropriate non-invasive investigations to enable early therapy with anticoagulants and intravenous antibiotics, which are the mainstay of treatment. We present a case of a 38-year-old female in the postpartum period who was diagnosed with right OVT reaching the inferior vein cava after a vaginal delivery. She was treated with intravenous antibiotic and anticoagulant therapy and had a successful recovery after repeated image six months after, showing complete resolution of thrombus.

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Imaging of Postpartum Ovarian Vein Thrombosis

Case Reports in Obstetrics and Gynecology ◽

10.1155/2012/134603 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Mehmet Bilgin ◽

Osman Sevket ◽

Seyma Yildiz ◽

Rasul Sharifov ◽

Ercan Kocakoc

Keyword(s):

Color Doppler ◽

Clinical Findings ◽

Ovarian Vein ◽

Resonance Imaging ◽

Early Therapy ◽

Vein Thrombosis ◽

Intravenous Antibiotics ◽

Color Doppler Us ◽

Magnetic Resonance Imaging Mri ◽

Ovarian Vein Thrombosis

Postpartum ovarian vein thrombosis (OVT) is a rare but serious complication. Clinical findings of OVT are nonspecific. Postpartum OVT, which is a clinically difficultly diagnosed entity, must be thought of in differential diagnosis in cases of postpartum acute abdomen. OVT can be accurately diagnosed by appropriate noninvasive radiologic modalities to start early therapy with anticoagulants and intravenous antibiotics. In this paper, we review the imaging findings of a case with postpartum ovarian vein thrombosis that had been followed up for 6 months by ultrasonography (US), color Doppler US, computed tomography (CT), and magnetic resonance imaging (MRI).

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Postpartum ovarian vein thrombosis

Voprosy ginekologii akušerstva i perinatologii ◽

10.20953/1726-1678-2020-5-147-149 ◽

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

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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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Ovarian Vein Thrombosis Extending to Inferior Vena Cava in Postpartum Period: Case Reports and Literature Review

Flebologiia ◽

10.17116/flebo202014031244 ◽

2020 ◽

Vol 14 (3) ◽

pp. 244

Author(s):

I.S. Lebedev ◽

D.A. Son ◽

D.A. Churikov ◽

O.I. Efremova ◽

S.M. Yumin ◽

...

Keyword(s):

Literature Review ◽

Inferior Vena Cava ◽

Postpartum Period ◽

Inferior Vena ◽

Case Reports ◽

Vena Cava ◽

Ovarian Vein ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

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Non-pregnancy-related ovarian vein thrombosis: A rare cause of chronic abdominal pain

Qatar Medical Journal ◽

10.5339/qmj.2021.13 ◽

2021 ◽

Vol 2021 (1) ◽

Author(s):

Shaikha D. Al-Shokri ◽

Sundus Sardar ◽

Fathima Shajeedha Ameerudeen ◽

Mohammed Abdul Moqeeth

Keyword(s):

Risk Factors ◽

Abdominal Pain ◽

Postpartum Period ◽

Rare Case ◽

Young Female ◽

Chronic Abdominal Pain ◽

Ovarian Vein ◽

Test Results ◽

Vein Thrombosis ◽

Ovarian Vein Thrombosis

Background: Ovarian vein thrombosis (OVT) commonly occurs during the peripartum and postpartum period. However, few cases of idiopathic OVT unrelated to pregnancy have been described. Case report: We report a case of a previously healthy, 32-year-old female who presented with chronic right-sided abdominal pain. Abdominal and pelvic gadolinium-enhanced MRI showed a right OVT. The patient was not in the peripartum or postpartum period. Thrombophilia test results were negative, and no risk factors for thrombosis were noted. The patient received warfarin for 6 months, with resolution of her symptoms. Conclusion: The presented case emphasizes the significance of considering OVT as a cause of unexplained abdominal pain in a young female. We describe a rare case of idiopathic OVT with a unique presentation.

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Ovarian and Renal Vein Thrombosis: A Rare Cause of Fever Outer the Postpartum Period

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/817862 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Turhan Togan ◽

Hale Turan ◽

Egemen Cifci ◽

Ceylan Çiftci

Keyword(s):

Venous Thrombosis ◽

Postpartum Period ◽

Renal Vein ◽

Coagulation Factor ◽

Unknown Origin ◽

Renal Vein Thrombosis ◽

Ovarian Vein ◽

Vein Thrombosis ◽

First Time ◽

Ovarian Vein Thrombosis

Although there is no other underlying disease, women can sometimes experience rare and serious diseases such as ovarian vein thrombosis (OVT) and renal vein thrombosis (RVT) after giving birth. The widespread development of thrombosis is treated for the first time in this study. Stasis, coagulation factor abnormalities, and intimal damage to the venous thrombosis risk can increase during pregnancy. It was mentioned that it diagnoses an abnormality in the hypercoagulability half of women with OVT. Despite the hypercoagulant abnormality observed in pregnant women, it was very unusual that the renal vein thrombosis led to this complication. It can lead to severe complication of OVT which can even cause death. It was the first time that the renal vein and ovarian vein thrombosis were observed in the postpartum period, and there was no coagulation abnormality. It is known that the thrombus in the postpartum period can be observed with the fever of unknown origin. The problematic, but rarely observed, postpartum disease such as ovarian venous thrombosis (OVT) is generally observed in the right ovarian vein. In this disease, avoiding the resulting laparotomy heparin and intravenous antibiotics is best solution for the patient. If it is to be noted a fever for unknown reasons, that it be thrombosis.

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The Utility of Non-invasive Tests for Detection of Previous Proximal-vein Thrombosis

Thrombosis and Haemostasis ◽

10.1055/s-0038-1653826 ◽

1995 ◽

Vol 73 (04) ◽

pp. 592-596 ◽

Cited By ~ 22

Author(s):

Sabina Villalta ◽

Paolo Prandoni ◽

Alberto Cogo ◽

Paola Bagatella ◽

Andrea Piccioli ◽

...

Keyword(s):

Clinical Evaluation ◽

Femoral Vein ◽

Clinical Score ◽

Diagnostic Methods ◽

Popliteal Vein ◽

Venous Reflux ◽

Study Objective ◽

Vein Thrombosis ◽

Non Invasive ◽

The Common

SummaryBackground. Despite the availability of several diagnostic methods for the detection of deep-vein thrombosis (DVT), the identification of previous episodes of DVT remains a diagnostic challenge.Study objective. To assess the reliability of a combination of a standardized clinical score with three non-invasive tests: compression ultrasonography (CUS), Doppler ultrasound (DUS), and photoplethysmography (PPG), in determining the presence or the absence of previous proximal DVT.Methods. One hundred consecutive unselected outpatients were identified, who had undergone contrast venography six to nine years previously because of the clinical suspicion of DVT (confirmed in 43). They were blindly reinvestigated by a panel of trained operators unaware of venography results. They underwent a clinical evaluation of the lower limb, by applying a standardized score to five symptoms and six signs (grading each item from 0 to 3); a PPG test to determine the venous refilling time; a DUS test to determine the venous reflux separately in the common femoral and the popliteal vein; and a CUS test to determine vein compressibility in the same regions.Results. An abnormal CUS test and/or the demonstration of venous reflux in the popliteal region and/or a high clinical score (≥ 8) identified twenty-four of the 43 (56%) DVT + patients with a specificity of 89%. The combination of normal CUS with the absence of venous reflux in both the common femoral and popliteal vein and a low clinical score excluded previous thrombosis in 45 (79%) of the 57 DVT- patients (negative predictive value, 78%). Abnormal venous reflux in the isolated common femoral vein did not reliably predict the presence or absence of previous DVT. However, this occurred in only 13 (13%) patients. The PPG determination of venous refilling time did not improve the results obtained with the other tests.Conclusions. The combination of a standardized clinical evaluation with the results of CUS and DUS can reliably diagnose or exclude previous proximal-vein thrombosis in almost 90% of patients with previous episodes of suspected DVT.

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Diagnosis of Deep Vein Thrombosis by Combination of Doppler Ultrasound Flow Examination and Strain Gauge Plethysmography

Thrombosis and Haemostasis ◽

10.1055/s-0038-1657149 ◽

1982 ◽

Vol 47 (02) ◽

pp. 141-144 ◽

Cited By ~ 7

Author(s):

H Bounameaux ◽

B Krähenbühl ◽

S Vukanovic

Keyword(s):

Deep Vein Thrombosis ◽

Negative Predictive Value ◽

Doppler Ultrasound ◽

Strain Gauge ◽

Predictive Value ◽

Lower Limbs ◽

Vein Thrombosis ◽

Non Invasive ◽

Strain Gauge Plethysmography ◽

Deep Vein

SummaryDoppler ultrasound flow examination, strain gauge plethysmography and contrast venography were performed in 160 lower limbs of 80 in-patients. Deep vein thrombosis (DVT) was suspected in 87 limbs. Using measurement of venous stop-flow pressure, the Doppler method had an overall sensitivity of 83%. By combined use of Doppler and Plethysmography, sensitivity was increased to 96%. Specificity was 62% and 51%, respectively. With a positive and a negative predictive value of 80% and 73%, respectively, the combination of both non-invasive methods cannot reliably replace venography in the diagnosis of DTV, although all (40/40) thromboses proximal to or involving the popliteal segment were detected by either Doppler and Plethysmography or both.After exclusion of 14 patients (18%) suffering from conditions known to alter the results of these non-invasive methods, the positive predictive value of abnormal findings in both Doppler and Plethysmography was increased to 94% for suspected limbs, whilst negative predictive value of both negative Doppler and Plethysmography was 90%, allowing the avoidance of venography in these patients.

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