Jha Anamika, Khatiwada Abhikanta, Kc Sharada
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Internal Medicine, NAIHS, Kathmandu, Nepal.
Radiol Case Rep. 2024 Aug 10;19(11):4759-4761. doi: 10.1016/j.radcr.2024.07.063. eCollection 2024 Nov.
Ovarian vein thrombosis (OVT), while uncommon, is a serious complication that can arise from pregnancy, pelvic inflammatory disease, oncological conditions, and pelvic surgeries. Here we discuss a case of a 37-year-old woman who, during her postpartum period, experienced lower abdominal pain and fever. Utilizing imaging findings, she was ultimately diagnosed with right ovarian vein thrombosis. The puerperium represents a hypercoagulable state, heightening the risk of OVT, particularly following a cesarean section. Despite its rarity, OVT should invariably be considered in the differential diagnosis when evaluating patients who present with postpartum abdominal pain and/or fever.
卵巢静脉血栓形成(OVT)虽不常见,但却是一种可由妊娠、盆腔炎性疾病、肿瘤性疾病及盆腔手术引发的严重并发症。在此,我们讨论一例37岁女性病例,该患者在产后出现下腹部疼痛和发热。通过影像学检查结果,她最终被诊断为右卵巢静脉血栓形成。产褥期处于高凝状态,增加了发生OVT的风险,尤其是在剖宫产术后。尽管OVT较为罕见,但在评估出现产后腹痛和/或发热的患者时,鉴别诊断中应始终考虑到该病。