Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review
Objective: We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience. Case report: A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455923000414 |
| _version_ | 1827980705369423872 |
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| author | Yi-Ting Chen Yi-Lun Lin Yueh-Ting Tsai Jen-Yu Wen Tsun-Wen Hsiao Yung-Chieh Tsai |
| author_facet | Yi-Ting Chen Yi-Lun Lin Yueh-Ting Tsai Jen-Yu Wen Tsun-Wen Hsiao Yung-Chieh Tsai |
| author_sort | Yi-Ting Chen |
| collection | DOAJ |
| description | Objective: We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience. Case report: A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments were given but with unsatisfactory effect. As the patient had completed family planning, a hysterectomy was scheduled. However, on the sixth postoperative day, the patient complained of low abdominal pain with fever on and off. After a series of examinations, right OVT was diagnosed. The patient was treated with antibiotics only. Under close surveillance, the OVT resolved spontaneously, and the patient was discharged. Conclusion: Diagnosis of OVT requires highly suspicion owing to its rarity and non-specific presentation. OVT is a potentially serious venous thromboembolism that sometimes can be life threatening. Anticoagulant treatment is still controversial. Conventional Tomography with contrast medium could detect early OVT with high sensitivity and specificity. |
| first_indexed | 2024-04-09T21:57:32Z |
| format | Article |
| id | doaj.art-88e56d4087804f979975a4d11136a967 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-09T21:57:32Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-88e56d4087804f979975a4d11136a9672023-03-24T04:21:59ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-03-01622369371Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature reviewYi-Ting Chen0Yi-Lun Lin1Yueh-Ting Tsai2Jen-Yu Wen3Tsun-Wen Hsiao4Yung-Chieh Tsai5Center for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, TaiwanCenter for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, TaiwanDepartment of Medical Imaging, Chi Mei Medical Center, Tainan, TaiwanCenter for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, TaiwanCenter for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, TaiwanCenter for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, Taiwan; Department of Sport Management, Chia Nan University of Pharmacy and Science, Tainan, Taiwan; Corresponding author. Center for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, No. 901, Zhonghua Rd., Yongkang Dist., Tainan City 710402, Taiwan.Objective: We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience. Case report: A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments were given but with unsatisfactory effect. As the patient had completed family planning, a hysterectomy was scheduled. However, on the sixth postoperative day, the patient complained of low abdominal pain with fever on and off. After a series of examinations, right OVT was diagnosed. The patient was treated with antibiotics only. Under close surveillance, the OVT resolved spontaneously, and the patient was discharged. Conclusion: Diagnosis of OVT requires highly suspicion owing to its rarity and non-specific presentation. OVT is a potentially serious venous thromboembolism that sometimes can be life threatening. Anticoagulant treatment is still controversial. Conventional Tomography with contrast medium could detect early OVT with high sensitivity and specificity.http://www.sciencedirect.com/science/article/pii/S1028455923000414Ovarian vein thrombosisVenous thromboembolismHysterectomyAnticoagulantAntibiotics |
| spellingShingle | Yi-Ting Chen Yi-Lun Lin Yueh-Ting Tsai Jen-Yu Wen Tsun-Wen Hsiao Yung-Chieh Tsai Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review Taiwanese Journal of Obstetrics & Gynecology Ovarian vein thrombosis Venous thromboembolism Hysterectomy Anticoagulant Antibiotics |
| title | Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review |
| title_full | Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review |
| title_fullStr | Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review |
| title_full_unstemmed | Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review |
| title_short | Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review |
| title_sort | diagnosis and management of ovarian vein thrombosis after laparoscopic assisted vaginal hysterectomy with bilateral salpingectomy a case report and literature review |
| topic | Ovarian vein thrombosis Venous thromboembolism Hysterectomy Anticoagulant Antibiotics |
| url | http://www.sciencedirect.com/science/article/pii/S1028455923000414 |
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