Premium
Pulmonary embolism caused by postpartum ovarian vein thrombophlebitis after vaginal delivery: Case report and brief review of the literature
Author(s) -
Fei Zhengdong,
Peng Aiqin,
Wang Lei,
Zhang Lu
Publication year - 2020
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22814
Subject(s) - medicine , ovarian vein , thrombophlebitis , pulmonary embolism , radiology , warfarin , vaginal delivery , thrombosis , surgery , vein , embolism , pregnancy , ovary , atrial fibrillation , biology , genetics
Puerperal ovarian vein thrombophlebitis is a rare pathology. We present the case of a 23‐year‐old female who presented with fever and cough that occurred after vaginal delivery and persisted after several courses of antibiotics between the 2nd and 20th day postpartum. CT pulmonary angiography revealed right subsegmental pulmonary embolism. An abdominal ultrasonographic examination led to the diagnosis of ovarian vein thrombosis. She was treated with warfarin for 2 weeks with a good response. Our case highlights the importance of prompt ultrasonographic diagnosis and clinical treatment of ovarian vein thrombosis to prevent morbidity and mortality.