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Ovarian Vein Thrombosis, Critical Diagnosis at Al-Hasahisa Obstetrics & Gynecology Teaching Hospital in Geziera State, Sudan

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Open Journal of Obstetrics and Gynecology 2023年第6期13卷 1020-1024页

作者： Mohamed ElAmin M. A. Elkhazein Atif B. E. Fazari Mohamed Bakry Habeeb Parveen B. Mohammed Elrasheed H. A. Mohammed Al-Hasahisa Obstetrics & Gynecology Teaching Hospital Rufaa Sudan Faculty of Medicine Albutana University Rufaa Sudan Latifa Hospital DHA Dubai UAE Faculty of Medicine University of Medical Sciences & Technology Khartoum Sudan

Ovarian Vein Thrombosis (OVT) is a rare thrombotic condition commonly attributed to the puerperium. The complications of OVT can be significant, and diagnosis relies on a high clinical index of suspicion. It can occur with lower quadrant pain that may mimic a surgical abdomen, especially in the setting of recent pregnancy, abdominal surgery, inflammatory disease, or malignancy. Diagnosis can be made with confidence using ultrasound, computed tomography, or magnetic resonance imaging. Management of OVT is particularly important in postpartum patients, with anticoagulation therapy being the treatment of choice.

关键词： Ovarian Vein Thrombosis Puerperium Pregnancy

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Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1378-1385页

作者： K. E. Logbo-Akey D. R. Ajavon K. B. M’Bortche P. Kambote A. S. Aboubakari K. Akpadza Department of Gynecology and Obstetrics CHU Kara University of Kara Kara Togo Gynecology and Obstetrics Department of CHR Tomdé University of Kara Kara Togo Clinic of the Togolese Association for Family Welfare University of Lome Lome Togo Department of Gynecology and Obstetrics CHU Lome University of Lome Lome Togo

Introduction: OVT is rare, with an incidence of 0.05% to 0.18% and occurring preferentially in postpartum period. Any delay in management may compromise the patient’s vital prognosis. Observation: We report a case of a 34-year-old patient, G2P3, who delivered twins by cesarean section at 39 weeks of amenorrhea. She presented abdominal pain and fever on the 4th day of postpartum. Biological tests showed a biological inflammatory syndrome and a positive blood culture with gram-positive Staphylococcus. After 72 hours of antibiotics with no clinical or biological improvement, a CT scan revealed a 12 mm thrombus in the lumen of the right ovarian vein’s connection to the inferior vena cava. Antibiotic treatment was continued, associated with an anticoagulant. The evolution was been favorable. Conclusion: Rare and serious pathology, the diagnosis is made using medical imaging. The outcome is generally favorable with antibiotic therapy and anticoagulant therapy.

关键词： Abdominal Pain Fever Post Partum Ovarian Vein Thrombosis

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