Open AccessOvarian Vein Thrombosis Presenting as Acute Abdomen in Puerperium
Author(s) -
Flavia Sorbi,
Luca Mannini,
Martina Aldinucci,
Viola Ghizzoni,
Massimiliano Fambrini
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/17872.7306
Subject(s) - medicine , abdomen , acute abdomen , postpartum period , deep vein , surgery , constipation , thrombosis , abdominal pain , radiology , pregnancy , genetics , biology
Postpartum Ovarian Vein Thrombosis (POVT) is a rare, but serious condition that causes slow quadrant pain in the postpartum period. POVT must be considered in the differential diagnosis of postpartum acute abdomen. We hereby report a case on a 36-year-old Italian woman who developed an acute abdomen a week after spontaneous vaginal delivery. She had persistent fever and constipation. Diagnosis of POVT was made with an abdominal Computed Tomography (CT) and treatment with heparin and broad-spectrum antibiotics were started. After 72 hours, the patient was switched from low molecular weight heparin to oral anticoagulant treatment. After 5 months a complete recanalization was demonstrated by abdomen CT and the treatment was stopped 6 months after diagnosis. POVT is a diagnosis of exclusion in the puerperium. This case illustrated that POVT may also occur in low risk patient.