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Postpartum ovarian vein thrombosis
Author(s) -
Dougan Claire,
Phillips Robyn,
Harley Ian,
Benson Gary,
Anbazhagan Akila
Publication year - 2016
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12295
Subject(s) - medicine , pregnancy , thrombosis , multidisciplinary approach , intensive care medicine , conservative management , abdominal pain , deep vein , intervention (counseling) , general surgery , surgery , obstetrics , gynecology , nursing , social science , genetics , sociology , biology
Key content Postpartum ovarian vein thrombosis (POVT) is a rare but potentially fatal condition. Symptoms up to 4 weeks postpartum often include vague abdominal pain and pyrexia. A high index of suspicion is required to make the diagnosis. As there is no consensus regarding management, a multidisciplinary approach is advised.Learning objectives Recognise the symptoms and signs of POVT and formulate a differential diagnosis. Recognise the importance of imaging in confirming the diagnosis and involvement of the multidisciplinary team to plan management. Understand that conservative management with low‐molecular‐weight heparin is the first‐line treatment, and understand the situations that may require vena caval filter insertion or surgical intervention.Ethical issues How can we counsel women about risks of conservative and surgical management of this condition when there is no consensus for this management? Should women who have had an ovarian vein thrombosis in a previous pregnancy be counselled toward avoiding future pregnancy?