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Archives of Gynecology and Obstetrics

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01-02-2010 | Case Report

Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten

Authors: Angela Johnson, E. Dawn Wietfeldt, Vijian Dhevan, Imran Hassan

Published in: Archives of Gynecology and Obstetrics | Issue 2/2010

Abstract

Introduction

Ovarian vein thrombosis (OVT) is an uncommon, life-threatening complication of the postpartum period. Symptoms of OVT include lower abdominal and flank pain associated with fever, tachycardia, and nausea and vomiting.

Case history

We present a case of OVT in a 22-year-old woman 4 days postpartum presenting to the emergency department with right lower quadrant pain, tachycardia, and leukocytosis. The initial clinical diagnosis was of appendicitis; however, on CT scan, she had findings characteristic of right OVT.

Conclusion

The clinical presentation of OVT can be very similar to that of acute appendicitis and should always be included in the differential diagnosis of right lower quadrant pain in the female patient. Modern imaging techniques enable confirmation of the diagnosis when OVT is suspected.

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Royo P, Alonso-Burgos A, Garcia-Manero M et al (2008) Postpartum ovarian vein thrombosis after cesarean delivery: a case report. J Med Case Rep 2:105CrossRef

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Title: Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten
Authors: Angela Johnson
E. Dawn Wietfeldt
Vijian Dhevan
Imran Hassan
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1153-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten

Abstract

Introduction

Case history

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case history

Conclusion

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