Abstract

REYNA-VILLASMIL, Eduardo; TORRES-CEPEDA, Duly  and  RONDON-TAPIA, Martha. Postpartum ovarian vein thrombosis. Rev. peru. ginecol. obstet. [online]. 2021, vol.67, n.2, 00014. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v67i2328.

Ovarian vein thrombosis is a rare but serious condition that causes abdominal pain and fever and is most commonly seen during the immediate postpartum period. It may also be associated with pelvic inflammatory disease, neoplasms and pelvic surgical procedures. In the differential diagnosis of acute abdomen, consider it in a febrile puerperal patient with abdominal pain without apparent focus or response to antibiotic therapy. A high index of suspicion is necessary for timely diagnosis and management, especially in cases that simulate an acute abdomen. Complications can be significant and diagnosis is based on careful examination of radiographic findings. The diagnostic test of choice, with high sensitivity and specificity, is contrast computed tomography, Thromboprophylaxis and broad-spectrum antibiotics are effective as initial treatment in cases without pulmonary embolism or extensive involvement of the thrombus in the inferior vena cava. A case of postpartum ovarian vein thrombosis is presented.

Keywords : Ovary; Venous thrombosis; Postpartum period.

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