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

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

Flebologiia ◽  
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

Ovarian vein thrombosis in the postnatal period

2021 ◽  
Vol 14 (6) ◽  
pp. e243872
Author(s):  
Louise Dunphy ◽  
Aie Wei Tang
Keyword(s):  
Abdominal Pain ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Elective Caesarean Section ◽  
Vena Cava ◽  
Lower Abdominal Pain ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
The Right ◽  
Ovarian Vein Thrombosis

Although ovarian vein thrombosis (OVT) is classically considered a puerperal pathology, it can also occur in nonpuerperal settings such as endometritis, pelvic inflammatory disease, Crohn’s disease, pelvic or gynaecological surgeries and thrombophilia. Hypercoagulation conditions such as antiphospholipid syndrome, systemic lupus erythematosus, factor V Leiden and protein C and S deficiency are all recognised risk factors. It is also a known complication during pregnancy often presenting with fever and lower abdominal pain within weeks after delivery. Its incidence is exceedingly rare, occurring in 0.05% of all pregnancies that result in live births and peaking around 2–6 days after delivery. Its preferential involvement of the right ovarian vein may be explained by the compression of the inferior vena cava and the right ovarian vein due to dextrorotation of the uterus during pregnancy. Furthermore, antegrade flow of blood and multiple incompetent valves in the right ovarian vein favours bacterial infection. Complications may include sepsis and thrombus extension to the inferior vena cava or left renal vein and rarely, pulmonary embolism. The authors present the case of a 27-year-old woman with lower abdominal pain 5 weeks after an elective caesarean section. Although the diagnosis of postpartum endometritis was initially considered, a CT suggested a right OVT. She commenced treatment with low-molecular weight heparin. A high index of clinical suspicion is required in order to establish the diagnosis of this rare cause of abdominal pain, which can mimic an acute abdomen.

scholarly journals Postpartum Ovarian Vein and Inferior Vena Cava Thrombosis

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Harun Arslan ◽  
Sibel Ada ◽  
Sebahattin Çelik ◽  
Tayfur Toptaş
Keyword(s):  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Ovarian Vein ◽  
Pelvic Infection ◽  
Vein Thrombosis ◽  
Vena Cava Thrombosis ◽  
Inferior Vena Cava Thrombosis ◽  
Ovarian Abscess ◽  
Ovarian Vein Thrombosis

Postpartum ovarian vein thrombosis (POVT), which generally occurs 2–15 days postpartum, is a rare complication. It can be confused with acute appendicitis, pelvic infection, ovarian torsion, tubo-ovarian abscess, and pyelonephritis. It is associated with morbidity and mortality. Here, we present a patient with postpartum OVT and IVC diagnosed by US and CT findings. She was treated successfully with no further need for any interventional procedures.

scholarly journals Paradoxical embolism caused by ovarian vein thrombosis extending to inferior vena cava in a female with uterine myoma

2018 ◽  
Vol 18 (6) ◽  
pp. 207-209 ◽  
Author(s):  
Shun Nakamura ◽  
Takeshi Tokunaga ◽  
Aya Yamaguchi ◽  
Toshikazu Kono ◽  
Kensuke Kasano ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Paradoxical Embolism ◽  
Uterine Myoma ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Ovarian Vein Thrombosis

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.

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