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Ovarian vein thrombosis following total laparoscopic hysterectomy
Author(s) -
Tanaka Yusuke,
Kato Hiroyasu,
Hosoi Ayako,
Isobe Masanori,
Koyama Shinsuke,
Shiki Yasuhiko
Publication year - 2012
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2012.00147.x
Subject(s) - medicine , surgery , thrombosis , deep vein , hysterectomy , gynecological surgery , complication , laparoscopic surgery , vein , laparoscopy , ovarian vein , laparoscopic hysterectomy , venous thrombosis , ovary
Ovarian vein thrombosis usually occurs in pregnant patients, especially during the postpartum period. However, it is a rare complication following laparoscopic surgery in gynecology. The risk of a thromboembolic event is not well defined, and evidence‐based guidelines regarding deep vein thrombosis prophylaxis in gynecological laparoscopic surgery are still lacking. Herein we report a rare case of ovarian vein thrombosis following total laparoscopic hysterectomy in a 35‐year‐old woman who developed a fever of unknown origin on postoperative day 3. A complete fever work‐up was done. Her urine, vaginal stump and blood culture were all negative, and her white blood cell count was normal. CT revealed left ovarian vein thrombosis. The patient responded well to anticoagulation in conjunction with antibiotic therapy.