Ovarian Vein Thrombosis Presenting as Acute Abdomen in Puerperium
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 abdom...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7306/17872_CE(RA1)_F(T)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | 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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| ISSN: | 2249-782X 0973-709X |