Imaging of Postpartum Ovarian Vein Thrombosis

Mehmet Bilgin,Rasul Sharifov,Seyma Yildiz,Osman Sevket,Ercan Kocakoc

doi:10.1155/2012/134603

Mehmet Bilgin, Rasul Sharifov + Show 3 more

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https://doi.org/10.1155/2012/134603

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Abstract

Postpartum ovarian vein thrombosis (OVT) is a rare but serious complication. Clinical findings of OVT are nonspecific. Postpartum OVT, which is a clinically difficultly diagnosed entity, must be thought of in differential diagnosis in cases of postpartum acute abdomen. OVT can be accurately diagnosed by appropriate noninvasive radiologic modalities to start early therapy with anticoagulants and intravenous antibiotics. In this paper, we review the imaging findings of a case with postpartum ovarian vein thrombosis that had been followed up for 6 months by ultrasonography (US), color Doppler US, computed tomography (CT), and magnetic resonance imaging (MRI).

Highlights

Ovarian vein thrombosis (OVT) is a rare but serious postpartum complication
OVT occurs 80%–90% in the right side; this could be caused by compression of the right ovarian vein against the sacral promontory due to an enlarged dextroverted uterus and presence of retrograde flow in the left ovarian vein [2, 3]
It is not clear, Bumm curettage for the rest placenta may be an extra risk factor and contribute for developing OVT in our case. The severity of this disease is related to the extension of the thrombosis proximally into the inferior vena cava and the

Summary

Case Report Imaging of Postpartum Ovarian Vein Thrombosis

Postpartum ovarian vein thrombosis (OVT) is a rare but serious complication. Postpartum OVT, which is a clinically difficultly diagnosed entity, must be thought of in differential diagnosis in cases of postpartum acute abdomen. OVT can be accurately diagnosed by appropriate noninvasive radiologic modalities to start early therapy with anticoagulants and intravenous antibiotics. We review the imaging findings of a case with postpartum ovarian vein thrombosis that had been followed up for 6 months by ultrasonography (US), color Doppler US, computed tomography (CT), and magnetic resonance imaging (MRI)

Introduction

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Discussion