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

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].

scholarly journals OVARIAN VEIN THROMBOSIS;

2017 ◽  
Vol 24 (08) ◽  
pp. 1256-1258
Author(s):  
Muhammad Umar Younis
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Ovarian Vein ◽  
Rare Presentation ◽  
Diagnostic Dilemma ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
Prompt Diagnosis ◽  
Ovarian Vein Thrombosis

Introduction: Ovarian Vein Thrombosis is a rare presentation in the surgicalemergency. It usually is reported in the postpartum period but may present as an acuteabdomen in the ER. Case Presentation: A 38 years old female presented with a history ofDilation and Curettage 3 days back Presented with severe lower abdominal pain, fever andvomiting. An exploratory laparotomy revealed left ovarian thrombosis with 1L hemorrhagicfluid in the peritoneal cavity. Left oophorectomy was done and anticoagulation started post op.Conclusion: OVT poses a diagnostic dilemma for the patient presenting to the emergency withan acute abdomen because prompt diagnosis and treatment are necessary to prevent furthercomplications.

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

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.

Postpartum ovarian vein thrombosis

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.

Idiopathic bilateral ovarian vein thrombosis

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.

Nonpuerperal Ovarian Vein Thrombosis: A Report of Seven Cases.

Blood ◽  
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.

Acute right lower quadrant abdominal pain as the presenting symptom of ovarian vein thrombosis in pregnancy

2008 ◽  
Vol 34 (4pt2) ◽  
pp. 680-682 ◽  
Author(s):  
Turedi Suleyman ◽  
Hos Gultekin ◽  
Gunduz Abdulkadir ◽  
Patan Tevfik ◽  
Unsal Mesut Abdulkerim ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Ovarian Vein ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Vein Thrombosis ◽  
Right Lower Quadrant ◽  
Ovarian Vein Thrombosis ◽  
In Pregnancy

Idiopathic ovarian vein thrombosis: a rare cause of abdominal pain

2016 ◽  
Vol 34 (5) ◽  
pp. 935.e1-935.e2 ◽  
Author(s):  
Basem F. Khishfe ◽  
Anna Sankovsky ◽  
Isam Nasr
Keyword(s):  
Abdominal Pain ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Ovarian Vein Thrombosis

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

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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