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.

scholarly journals Idiopathic Ovarian Vein Thrombosis: A Rare Case in Nonpregnant Woman

2020 ◽  
pp. 1-3
Author(s):  
Tamires de Menezes França ◽  
Natália Monteiro Cordeiro ◽  
Arlley Cleverson Belo da Silva ◽  
Caio Kzan Geyer Nogueira ◽  
Marair Gracio Ferreira Sartori ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Rare Case ◽  
Diagnosis And Treatment ◽  
Nonpregnant Woman ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Prompt Diagnosis ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare cause of abdominal pain, is an entity most commonly diagnosed after pregnancy. It is also associated with gynecological malignancies, caesarean deliveries, abortions, hypercoagulability and pelvic inflammatory disease. Prompt diagnosis and treatment is warranted to avoid serious complications [1]. We report the rare case of idiopathic ovarian right vein thrombosis.

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.

scholarly journals A rare case of ovarian vein thrombosis in a gestational trophoblastic neoplasia patient

2019 ◽  
Vol 62 (3) ◽  
pp. 190
Author(s):  
In Young Kim ◽  
Seung Hyun Kim ◽  
In Taek Hwang ◽  
Joong Gyu Ha ◽  
Jae Ho Cha
Keyword(s):  
Rare Case ◽  
Ovarian Vein ◽  
Gestational Trophoblastic Neoplasia ◽  
Vein Thrombosis ◽  
Ovarian Vein Thrombosis

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

Risk Factors Associated with Postpartum Ovarian Vein Thrombosis

1999 ◽  
Vol 82 (09) ◽  
pp. 1015-1019 ◽  
Author(s):  
Ophira Salomon ◽  
Sara Apter ◽  
Dorith Shaham ◽  
Nurith Hiller ◽  
Jacob Bar-Ziv ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Post Partum ◽  
Protein S ◽  
Factor V ◽  
Ovarian Vein ◽  
Protein S Deficiency ◽  
Vein Thrombosis ◽  
S Deficiency ◽  
Ovarian Vein Thrombosis

SummaryThrombosis of the ovarian vein is a remarkable process occuring within a few days of labor in 1:500-1:2000 women. Its presentation is characterized by fever, abdominal pain and occasionally by a palpable abdominal mass that in earlier years sometimes lead to explorative laparotomy. With the advent of modern imaging techniques the diagnosis can be made relatively easily. The pathogenesis has been attributed to an infectious process expanding from the uterus to the right ovarian vein and stasis. A predisposition towards thrombosis has not been so far explored. In this study we retrospectively analysed the clinical features, diagnosis and treatment of 22 patients with objective documentation of post partum ovarian vein thrombosis (POVT) and assessed potential risk factors. In 11 of the 22 patients (50%) inherited prothrombotic risk factors were detected as follows: 4 were heterozygous for factor V G1691 A, 2 had protein S deficiency, one had protein S deficiency and was heterozygous for factor V G1691A, and 4 were homozygous for MTHFR C677T. Eight of the 11 patients who bore a prothrombotic predisposition underwent cesarean section. Taken together, the data suggest that POVT may result from the combined effect of an infection, cesarean section and a prothrombotic tendency.

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].

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.

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