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Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten

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Abstract

Introduction

Ovarian vein thrombosis (OVT) is an uncommon, life-threatening complication of the postpartum period. Symptoms of OVT include lower abdominal and flank pain associated with fever, tachycardia, and nausea and vomiting.

Case history

We present a case of OVT in a 22-year-old woman 4 days postpartum presenting to the emergency department with right lower quadrant pain, tachycardia, and leukocytosis. The initial clinical diagnosis was of appendicitis; however, on CT scan, she had findings characteristic of right OVT.

Conclusion

The clinical presentation of OVT can be very similar to that of acute appendicitis and should always be included in the differential diagnosis of right lower quadrant pain in the female patient. Modern imaging techniques enable confirmation of the diagnosis when OVT is suspected.

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References

  1. Wysokinska EM, Hodge D, McBane RD 2nd (2006) Ovarian vein thrombosis: incidence of recurrent venous thromboembolism and survival. Thromb Haemost 96(2):126–131

    CAS  PubMed  Google Scholar 

  2. Dessole S, Capobianco G, Arru A et al (2003) Postpartum ovarian vein thrombosis: an unpredictable event: two case reports and review of the literature. Arch Gynecol Obstet 267(4):242–246

    PubMed  Google Scholar 

  3. Royo P, Alonso-Burgos A, Garcia-Manero M et al (2008) Postpartum ovarian vein thrombosis after cesarean delivery: a case report. J Med Case Rep 2:105

    Article  Google Scholar 

  4. Suleyman T, Gultekin H, Abdulkadir G et al (2008) Acute right lower quadrant abdominal pain as the presenting symptom of ovarian vein thrombosis in pregnancy. J Obstet Gynaecol Res 34(4 Pt 2):680–682

    Article  PubMed  Google Scholar 

  5. Carr S, Tefera G (2006) Surgical treatment of ovarian vein thrombosis. Vasc Endovasc Surg 40(6):505–508

    Article  Google Scholar 

  6. Kominiarek MA, Hibbard JU (2006) Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv 61(5):337–342

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, SIU School of Medicine, Springfield, IL, 62704, USA

    Angela Johnson, E. Dawn Wietfeldt, Vijian Dhevan & Imran Hassan

Authors
  1. Angela Johnson
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  2. E. Dawn Wietfeldt
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  3. Vijian Dhevan
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  4. Imran Hassan
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Corresponding author

Correspondence to Imran Hassan.

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Johnson, A., Wietfeldt, E.D., Dhevan, V. et al. Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten. Arch Gynecol Obstet 281, 261–263 (2010). https://doi.org/10.1007/s00404-009-1153-6

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  • DOI: https://doi.org/10.1007/s00404-009-1153-6

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