Tsai-Lien Chiang1, Chuan-Yaw Chang2, Jiann Ruey Ong1. 1. Department of Emergency Medicine. 2. Department of Obstetrics and Gynecology, Shuang-Ho Hospital, Taipei Medical University, Taiwan.
Abstract
RATIONALE: Postpartum ovarian vein thrombophlebitis (POVT) is a rare condition, and it can lead to severe complications and mortality. Here we report a patient who presented with vaginal bleeding and the diagnosis of POVT was confirmed by imaging. PATIENT CONCERNS: A 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain. DIAGNOSES: The diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava. INTERVENTIONS: The patient was treated with intravenous antibiotics and low-molecular-weight heparin. OUTCOMES: The patient recovered smoothly without complications. LESSONS: We should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.
RATIONALE: Postpartum ovarian vein thrombophlebitis (POVT) is a rare condition, and it can lead to severe complications and mortality. Here we report a patient who presented with vaginal bleeding and the diagnosis of POVT was confirmed by imaging. PATIENT CONCERNS: A 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain. DIAGNOSES: The diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava. INTERVENTIONS: The patient was treated with intravenous antibiotics and low-molecular-weight heparin. OUTCOMES: The patient recovered smoothly without complications. LESSONS: We should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.
Authors: Sarah K Dotters-Katz; Marcela C Smid; Matthew R Grace; Jennifer L Thompson; R Phillips Heine; Tracy Manuck Journal: Am J Perinatol Date: 2017-07-13 Impact factor: 1.862
Authors: O Salomon; S Apter; D Shaham; N Hiller; J Bar-Ziv; Y Itzchak; S Gitel; N Rosenberg; S Strauss; N Kaufman; U Seligsohn Journal: Thromb Haemost Date: 1999-09 Impact factor: 5.249