Ovarian Vein Thrombosis Presenting as Acute Abdomen in Puerperium
Published: February 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7306
Flavia Sorbi, Luca Mannini, Martina Aldinucci, Viola Ghizzoni, Massimiliano Fambrini
1. Lecturer, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
2. Lecturer, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
3. Lecturer, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
4. Lecturer, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
5. Professor, Department of Biomedical, Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Florence, Florence, Italy.
Correspondence
Dr. Flavia Sorbi,
Ginecologia e Ostetricia, Largo Brambilla 3, 50134 Firenze, Italy.
E-mail: flasorbi@gmail.com
Postpartum Ovarian Vein Thrombosis (POVT) is a rare, but serious condition that causes slow quadrant pain in the postpartum period. POVT must be considered in the differential diagnosis of postpartum acute abdomen. We hereby report a case on a 36-year-old Italian woman who developed an acute abdomen a week after spontaneous vaginal delivery. She had persistent fever and constipation. Diagnosis of POVT was made with an abdominal Computed Tomography (CT) and treatment with heparin and broad-spectrum antibiotics were started. After 72 hours, the patient was switched from low molecular weight heparin to oral anticoagulant treatment. After 5 months a complete recanalization was demonstrated by abdomen CT and the treatment was stopped 6 months after diagnosis. POVT is a diagnosis of exclusion in the puerperium. This case illustrated that POVT may also occur in low risk patient.
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