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Die septische Ovarialvenenthrombose — Diagnostik und Therapie

Septic ovarian vein thrombosis — diagnostic and therapeutic procedures

  • Operative Gynäkologie, Gynäkologische Onkologie
  • Blutung, Schock, Sepsis
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Summary

Septic ovarian vein thrombosis is commonly the sequela of puerperal purulent endomyometritis. The incidence has been reported to be 1 in 600–6000 deliveries. The predominant location is the right ovarian vein according to the puerperal uterine drainage. The diagnostic and therapeutic experience in 9 cases is described. The leading symptoms were abdominal pain localized at the psoatic muscle and a tender, barrel-shaped tumor. Ultrasound and computed tomography (CT) added in the correct preoperative diagnosis. Antibiotic therapy and anticoagulation are recommended in an uneventful course; in complicated cases surgical intervention becomes mandatory.

Zusammenfassung

Die septische Ovarialvenenthrombose ist eine seltene, aber lebensbedrohliche Komplikation einer puerperalen Endomyometritis. Ihre Inzidenz liegt bei 1 Fall auf 600 bis 6000 Entbindungen. Überwiegend ist die rechte Ovarialvene betroffen. An 9 eigenen Fällen werden Diagnostik und Therapie beschrieben. Wichtige Symptome sind der Psoas-Druckschmerz und eine palpable Resistenz im Unterbauch über der befallenen Vene. Ultraschall und Computertomographie erleichtern die präoperative Diagnosestellung. Die konservative Behandlung besteht aus Antikoagulation und Antibiotika, bei komplizierten Verläufen ist die chirurgische Herdsanierung erforderlich.

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Authors and Affiliations

  1. Frauenklinik und Poliklinik der Technischen Universität München, Universitäts-Frauenklinik Göttingen, Göttingen, Deutschland

    W. Loos, W. Rath, R. v. Hugo, H. Graeff & W. Kuhn

Authors
  1. W. Loos
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  2. W. Rath
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  3. R. v. Hugo
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  4. H. Graeff
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  5. W. Kuhn
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Loos, W., Rath, W., v. Hugo, R. et al. Die septische Ovarialvenenthrombose — Diagnostik und Therapie. Arch Gynecol Obstet 245, 827–829 (1989). https://doi.org/10.1007/BF02417578

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  • DOI: https://doi.org/10.1007/BF02417578

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