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Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports
BACKGROUND: Postpartum ovarian vein thrombosis (POVT) is a rare puerperal complication. It is easily missed or misdiagnosed due to its insidious onset and lack of specific clinical symptoms and signs. This paper reports two patients who developed right ovarian vein thrombosis after cesarean section...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294170/ https://www.ncbi.nlm.nih.gov/pubmed/37383122 http://dx.doi.org/10.12998/wjcc.v11.i16.3877 |
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author | Zhu, Hong-Dan Shen, Wei Wu, He-Li Sang, Xia Chen, Yun Geng, Li-Shu Zhou, Tao |
author_facet | Zhu, Hong-Dan Shen, Wei Wu, He-Li Sang, Xia Chen, Yun Geng, Li-Shu Zhou, Tao |
author_sort | Zhu, Hong-Dan |
collection | PubMed |
description | BACKGROUND: Postpartum ovarian vein thrombosis (POVT) is a rare puerperal complication. It is easily missed or misdiagnosed due to its insidious onset and lack of specific clinical symptoms and signs. This paper reports two patients who developed right ovarian vein thrombosis after cesarean section and vaginal delivery, respectively. CASE SUMMARY: Case 1 was a 32-year-old female who underwent a cesarean section in labor at 40 wk of gestation due to fetal distress. The patient was persistently febrile after the operation and escalated antibiotic treatment was ineffective. POVT was diagnosed by abdominal computed tomography (CT) and was treated by increasing the dose of low molecular weight heparin (LMWH). Case 2 was a 21-year-old female with a spontaneous vaginal delivery at 39 wk of gestation. The patient developed fever and abdominal pain 3 days after delivery. POVT was promptly identified by abdominal CT, and the condition was quickly controlled after treatment with LMWH and antibiotics. CONCLUSION: These two cases occurred after cesarean section and vaginal delivery, respectively. The diagnosis was mainly based on imaging examination due to the unspecific clinical symptoms and signs, the CT scan provided an especially high diagnostic value. Comparing these two cases, escalating antibiotics alone did not provide significant therapeutic benefit, but the early escalation of anticoagulant dosage seemed to shorten the disease course. Therefore, early diagnosis by CT followed by aggressive anticoagulation might have a positive effect on improving the prognosis of the disease. |
format | Online Article Text |
id | pubmed-10294170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-102941702023-06-28 Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports Zhu, Hong-Dan Shen, Wei Wu, He-Li Sang, Xia Chen, Yun Geng, Li-Shu Zhou, Tao World J Clin Cases Case Report BACKGROUND: Postpartum ovarian vein thrombosis (POVT) is a rare puerperal complication. It is easily missed or misdiagnosed due to its insidious onset and lack of specific clinical symptoms and signs. This paper reports two patients who developed right ovarian vein thrombosis after cesarean section and vaginal delivery, respectively. CASE SUMMARY: Case 1 was a 32-year-old female who underwent a cesarean section in labor at 40 wk of gestation due to fetal distress. The patient was persistently febrile after the operation and escalated antibiotic treatment was ineffective. POVT was diagnosed by abdominal computed tomography (CT) and was treated by increasing the dose of low molecular weight heparin (LMWH). Case 2 was a 21-year-old female with a spontaneous vaginal delivery at 39 wk of gestation. The patient developed fever and abdominal pain 3 days after delivery. POVT was promptly identified by abdominal CT, and the condition was quickly controlled after treatment with LMWH and antibiotics. CONCLUSION: These two cases occurred after cesarean section and vaginal delivery, respectively. The diagnosis was mainly based on imaging examination due to the unspecific clinical symptoms and signs, the CT scan provided an especially high diagnostic value. Comparing these two cases, escalating antibiotics alone did not provide significant therapeutic benefit, but the early escalation of anticoagulant dosage seemed to shorten the disease course. Therefore, early diagnosis by CT followed by aggressive anticoagulation might have a positive effect on improving the prognosis of the disease. Baishideng Publishing Group Inc 2023-06-06 2023-06-06 /pmc/articles/PMC10294170/ /pubmed/37383122 http://dx.doi.org/10.12998/wjcc.v11.i16.3877 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Zhu, Hong-Dan Shen, Wei Wu, He-Li Sang, Xia Chen, Yun Geng, Li-Shu Zhou, Tao Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title | Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title_full | Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title_fullStr | Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title_full_unstemmed | Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title_short | Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: Two case reports |
title_sort | postpartum ovarian vein thrombosis after cesarean section and vaginal delivery: two case reports |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294170/ https://www.ncbi.nlm.nih.gov/pubmed/37383122 http://dx.doi.org/10.12998/wjcc.v11.i16.3877 |
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