Idiopathic ovarian vein thrombosis in a nonperipartum patient

Obstetrics and Gynecology
Kathleen Doherty, Melinda New

Abstract

Ovarian vein thrombosis is a rare diagnosis typically seen in the early peripartum period but also in other thrombophilic states such as postsurgery, pelvic inflammatory disease, malignancy, or sepsis. We describe a case of idiopathic ovarian vein thrombosis in a healthy woman far outside the peripartum window. The patient is a 29-year-old woman, gravida 3 para 2102, with no significant surgical or medical history referred for 8 months of severe left lower quadrant pain. An ultrasonogram revealed a nonocclusive left ovarian vein thrombosis. Hypercoagulable workup and all other laboratory tests were normal. The thrombus resolved within 2 months of starting oral anticoagulation therapy. This case demonstrates the importance of including idiopathic ovarian vein thrombosis in the differential diagnosis of nonperipartum females with pelvic pain.

References

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Jul 14, 2010·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Meghan StaffordAkram Khalil

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Citations

Jan 21, 2016·Case Reports in Obstetrics and Gynecology·Anu GuptaRichard Trester
Aug 4, 2020·Journal of Investigative Medicine High Impact Case Reports·Ngon TrangGreti Petersen
Jul 1, 2021·The Journal of International Medical Research·Wenrui LiXueming Chen

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