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Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series

BACKGROUND: Ovarian vein thrombosis (OVT) is an uncommon condition, occurring in ~1 in every 600–2,000 pregnancies. It is associated with various conditions, including thrombophilia, malignancy, sepsis, intra-abdominal and pelvic inflammatory conditions, pregnancy, and the postpartum period, and spe...

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Autores principales: Alsheef, Mohammed, Abuzied, Yacoub, Alosaimi, Muteb, Altamimi, Amer, Alwazna, Qusai, Almahmood, Qusai, AlBulushi, Noura Ali, Almutair, Jehan, Zaidi, Abdul Rehman Zia, Gray, Jenny, Abu-Shaheen, Amani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243581/
https://www.ncbi.nlm.nih.gov/pubmed/35783843
http://dx.doi.org/10.3389/fcvm.2022.916920
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author Alsheef, Mohammed
Abuzied, Yacoub
Alosaimi, Muteb
Altamimi, Amer
Alwazna, Qusai
Almahmood, Qusai
AlBulushi, Noura Ali
Almutair, Jehan
Zaidi, Abdul Rehman Zia
Gray, Jenny
Abu-Shaheen, Amani
author_facet Alsheef, Mohammed
Abuzied, Yacoub
Alosaimi, Muteb
Altamimi, Amer
Alwazna, Qusai
Almahmood, Qusai
AlBulushi, Noura Ali
Almutair, Jehan
Zaidi, Abdul Rehman Zia
Gray, Jenny
Abu-Shaheen, Amani
author_sort Alsheef, Mohammed
collection PubMed
description BACKGROUND: Ovarian vein thrombosis (OVT) is an uncommon condition, occurring in ~1 in every 600–2,000 pregnancies. It is associated with various conditions, including thrombophilia, malignancy, sepsis, intra-abdominal and pelvic inflammatory conditions, pregnancy, and the postpartum period, and specific surgical interventions, particularly gynecological surgeries. Thus, this study aims to identify the associated factors for OVT and elaborate on the standard treatment strategies for its management. METHODS: Retrospective data collection was used. Our study consists of 18 patients diagnosed with OVT between 2005 and 2016; the data was collected from the Health Information Management system at King Fahad Medical City, Riyadh, Saudi Arabia using a standard format. RESULTS: Our study found that OVT involves the right ovarian vein more often than the left and mainly occurs in women during their postpartum period. These patients other associated factor included hypertension, diabetes, and a higher body mass index (BMI) of above 25 kg/m(2). The most frequently presenting complaints were abdominal pain and fever. The most common treatment was the administration of enoxaparin (a low molecular weight heparin) for an average duration of one to three months, which resulted in a low recurrence rate of OVT. CONCLUSIONS: Physicians should be vigilant for suspicion of OVT in female patients presenting with lower abdominal pain and fever in their postpartum period. Additionally, it is suggested to use low molecular weight heparin as initial therapy for OVT for one to three months, resulting in a high remission rate.
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spelling pubmed-92435812022-07-01 Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series Alsheef, Mohammed Abuzied, Yacoub Alosaimi, Muteb Altamimi, Amer Alwazna, Qusai Almahmood, Qusai AlBulushi, Noura Ali Almutair, Jehan Zaidi, Abdul Rehman Zia Gray, Jenny Abu-Shaheen, Amani Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Ovarian vein thrombosis (OVT) is an uncommon condition, occurring in ~1 in every 600–2,000 pregnancies. It is associated with various conditions, including thrombophilia, malignancy, sepsis, intra-abdominal and pelvic inflammatory conditions, pregnancy, and the postpartum period, and specific surgical interventions, particularly gynecological surgeries. Thus, this study aims to identify the associated factors for OVT and elaborate on the standard treatment strategies for its management. METHODS: Retrospective data collection was used. Our study consists of 18 patients diagnosed with OVT between 2005 and 2016; the data was collected from the Health Information Management system at King Fahad Medical City, Riyadh, Saudi Arabia using a standard format. RESULTS: Our study found that OVT involves the right ovarian vein more often than the left and mainly occurs in women during their postpartum period. These patients other associated factor included hypertension, diabetes, and a higher body mass index (BMI) of above 25 kg/m(2). The most frequently presenting complaints were abdominal pain and fever. The most common treatment was the administration of enoxaparin (a low molecular weight heparin) for an average duration of one to three months, which resulted in a low recurrence rate of OVT. CONCLUSIONS: Physicians should be vigilant for suspicion of OVT in female patients presenting with lower abdominal pain and fever in their postpartum period. Additionally, it is suggested to use low molecular weight heparin as initial therapy for OVT for one to three months, resulting in a high remission rate. Frontiers Media S.A. 2022-06-16 /pmc/articles/PMC9243581/ /pubmed/35783843 http://dx.doi.org/10.3389/fcvm.2022.916920 Text en Copyright © 2022 Alsheef, Abuzied, Alosaimi, Altamimi, Alwazna, Almahmood, AlBulushi, Almutair, Zaidi, Gray and Abu-Shaheen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Alsheef, Mohammed
Abuzied, Yacoub
Alosaimi, Muteb
Altamimi, Amer
Alwazna, Qusai
Almahmood, Qusai
AlBulushi, Noura Ali
Almutair, Jehan
Zaidi, Abdul Rehman Zia
Gray, Jenny
Abu-Shaheen, Amani
Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title_full Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title_fullStr Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title_full_unstemmed Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title_short Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series
title_sort clinical characteristics and management of ovarian vein thrombosis: a case series
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243581/
https://www.ncbi.nlm.nih.gov/pubmed/35783843
http://dx.doi.org/10.3389/fcvm.2022.916920
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