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Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain
Ovarian vein thrombosis (OVT) is a rare entity. It is usually seen in hypercoagulable states such as pregnancy, peripartum period, active malignancy, recent pelvic surgeries, pelvic infections, and inherited or acquired thrombophilias. Idiopathic OVT is exceedingly rare. We report a case of OVT in a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8412189/ https://www.ncbi.nlm.nih.gov/pubmed/34513379 http://dx.doi.org/10.7759/cureus.16756 |
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author | Tahir, Nayha Sherchan, Robin Farooqi, Aneeba Shrestha, Jishna Jeelani, Hafiz Muhammad |
author_facet | Tahir, Nayha Sherchan, Robin Farooqi, Aneeba Shrestha, Jishna Jeelani, Hafiz Muhammad |
author_sort | Tahir, Nayha |
collection | PubMed |
description | Ovarian vein thrombosis (OVT) is a rare entity. It is usually seen in hypercoagulable states such as pregnancy, peripartum period, active malignancy, recent pelvic surgeries, pelvic infections, and inherited or acquired thrombophilias. Idiopathic OVT is exceedingly rare. We report a case of OVT in a healthy 42-year-old post-menopausal female presenting with right lower quadrant abdominal pain for four days. The patient denied any recent pelvic surgery, pelvic infection, or any family history of thrombophilia. Right ovarian vein thrombosis was found on a computed tomography scan of the abdomen and pelvis. Laboratory workup including hypercoagulability studies was normal. The patient was treated with a therapeutic dose of lower molecular weight heparin and later transitioned to rivaroxaban for three to six months. This case emphasizes OVT as a differential diagnosis of lower abdominal pain in healthy females. Currently, there are no standard guidelines for the duration of anticoagulation in OVT, however based on literature review, deep venous thrombosis treatment guidelines can be followed. |
format | Online Article Text |
id | pubmed-8412189 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-84121892021-09-09 Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain Tahir, Nayha Sherchan, Robin Farooqi, Aneeba Shrestha, Jishna Jeelani, Hafiz Muhammad Cureus Internal Medicine Ovarian vein thrombosis (OVT) is a rare entity. It is usually seen in hypercoagulable states such as pregnancy, peripartum period, active malignancy, recent pelvic surgeries, pelvic infections, and inherited or acquired thrombophilias. Idiopathic OVT is exceedingly rare. We report a case of OVT in a healthy 42-year-old post-menopausal female presenting with right lower quadrant abdominal pain for four days. The patient denied any recent pelvic surgery, pelvic infection, or any family history of thrombophilia. Right ovarian vein thrombosis was found on a computed tomography scan of the abdomen and pelvis. Laboratory workup including hypercoagulability studies was normal. The patient was treated with a therapeutic dose of lower molecular weight heparin and later transitioned to rivaroxaban for three to six months. This case emphasizes OVT as a differential diagnosis of lower abdominal pain in healthy females. Currently, there are no standard guidelines for the duration of anticoagulation in OVT, however based on literature review, deep venous thrombosis treatment guidelines can be followed. Cureus 2021-07-30 /pmc/articles/PMC8412189/ /pubmed/34513379 http://dx.doi.org/10.7759/cureus.16756 Text en Copyright © 2021, Tahir et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Tahir, Nayha Sherchan, Robin Farooqi, Aneeba Shrestha, Jishna Jeelani, Hafiz Muhammad Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title | Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title_full | Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title_fullStr | Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title_full_unstemmed | Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title_short | Idiopathic Ovarian Vein Thrombosis: A Rare Cause of Abdominal Pain |
title_sort | idiopathic ovarian vein thrombosis: a rare cause of abdominal pain |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8412189/ https://www.ncbi.nlm.nih.gov/pubmed/34513379 http://dx.doi.org/10.7759/cureus.16756 |
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