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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (2): 299-302    DOI: 10.31083/j.ceog.2020.02.5175
Case Report Previous articles | Next articles
Management of the postpartum ovarian and partial cava inferior vein thrombosis
S. Dikić1, 2, S. Dragojević1, 2, L. Nejković1, 3, J. Štulić3, *(), A. Juri šić1, 3, D. Radojičić3, A. Diki ć1, Dj Radak1, 4
1Faculty of Medicine, University of Belgrade, Belgrade, Serbia
2KBC Bežanijska kosa, Department of Esophagogastric Surgery, Belgrade, Serbia
3Department of Obstetrics and Gynecology Narodni Front, Belgrade
4Institute for Cardiovascular Diseases, Belgrade, Serbia
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Abstract  Objective: Postpartum ovarian vein thrombosis (POVT) is a rare but very dangerous complication with possible lethal outcome. Here the authors present a case of POVT with propagation in cava inferior vein, which was diagnosed fourth day after delivery by cesarean section. Case Report: A 27-year-old female with fever complained of pain in the area of the right side of the abdomen, in the ileocecal region three days after premature delivery by caesarean section. Right ovarian venous thrombosis and partial cava inferior vein thrombosis was demonstrated on sonography and confirmed with computed tomography. She was treated with antibiotics and anticoagulation therapy with good response. Conclusion: If women after delivery have an elevated temperature with abdominal pain and leukocytosis in laboratory analyzes, it is always necessary to think of the POVT. Early recognition and therapy are crucial.
Key words:  Ovarian vein thrombosis      Deep venous thrombosis      Postpartum thrombosis     
Published:  15 April 2020     
*Corresponding Author(s):  J. ?tuli?     E-mail:  jstulicbgd@gmail.com

Cite this article: 

S. Dikić, S. Dragojević, L. Nejković, J. Štulić, A. Juri šić, D. Radojičić, A. Diki ć, Dj Radak. Management of the postpartum ovarian and partial cava inferior vein thrombosis. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 299-302.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.02.5175     OR     https://ceog.imrpress.com/EN/Y2020/V47/I2/299

Figure 1.  — Ultrasound transverse cross-section at small pelvis with hyperechoic adnexal mass in the area of right adnexa is well-vascularized.

Figure 2.  — Ultrasound cross-section at right enlarged ovary vein.

Figure 3.  — Ultrasound cross-section at cava inferior vein with partial occlusion and thrombus within.

Figure 4.  — Computed tomography coronal cross section of the abdomen and small pelvis with contrast application shows a hypodense right ovary vein with the presence of a blood clot and perivascular hyperechoic and varicose pelvic veins.

Figures 5 and 6.  — An axial and coronary section of the computed tomography image of the abdomen and small pelvis with contrast application revealing the presence of thrombus in the VCI and propagation into its intrahepatic segment.

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