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

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 p...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2010-02, Vol.281 (2), p.261-263
Main Authors: Johnson, Angela, Wietfeldt, E. Dawn, Dhevan, Vijian, Hassan, Imran
Format: Article
Language:English
Subjects:
Anticoagulants - administration & dosage
Anticoagulants - therapeutic use
Appendicitis
Cardiac arrhythmia
Case Report
Endocrinology
Female
Gynecology
Human Genetics
Humans
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Ovary - blood supply
Pain
Postpartum Period
Thrombosis
Thrombosis - diagnosis
Thrombosis - drug therapy
Tomography, X-Ray Computed
Young Adult
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Summary: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.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-009-1153-6