Postpartum ovarian vein thrombosis

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI:10.1515/crpm-2021-0002

Kelly Ribeiro, S. Mahboobani, K. van Ree, K. Clifford, T. Teoh

引用次数: 0

Abstract

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.

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产后卵巢静脉血栓

摘要目的产后卵巢静脉血栓形成(POVT)是一种罕见的病理，可导致严重的并发症，如败血症、血栓延伸导致器官衰竭和肺栓塞。因此，需要及早发现并及时治疗。病例介绍:1例右侧POVT患者在分娩后4天出现急性右侧腹痛和发热。阑尾炎最初被认为是阑尾炎，在腹部-骨盆计算机断层扫描提出POVT的怀疑之前，随后通过经腹超声证实。开始使用抗生素和抗凝剂，临床迅速改善，3个月后血栓完全消退。结论诊断POVT是具有挑战性的，因为它在临床上模仿其他更常见的疾病。这是罕见的，但危及生命，应考虑在产后出现腹痛和发烧的所有女性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

自引率

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发文量

期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.