Korean J Obstet Gynecol.  2011 Nov;54(11):736-740. 10.5468/KJOG.2011.54.11.736.

Bilateral ovarian vein thrombosis after abortion: A case report

Affiliations
  • 1Department of Obstetrics and Gynecology, Gyeongsang National University School of Medicine, Jinju, Korea. wypaik@gnu.ac.kr
  • 2Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Abstract

The frequency of thromboembolism is 0.3-1.2% in pregnant women, in most cases occur in veins. Especially, ovarian vein thromboses present rarely that occur in 0.02-0.18% of pregnancy. Ovarian vein thromboses are diagnosed mainly on right side, rarely bilateral or left side involvement. Ovarian vein thromboses are caused by physiologic hypercoagulability, endothelial injury, and compression of uterus during pregnancy. Mostly it occurs at postpartum. In the cases of ovarian vein thrombosis after abortion, it is very rarely reported in domestic and foreign. We report the case of bilateral ovarian vein thrombosis that was presented after abortion in early pregnancy with brief review of literature.

Keyword

Ovarian vein; Thrombosis; Abortion; Pregnancy

MeSH Terms

Female
Humans
Postpartum Period
Pregnancy
Pregnant Women
Thromboembolism
Thrombophilia
Thrombosis
Uterus
Veins

Figure

  • Fig. 1 Computed tomography scan at admission. (A, B) Coronal reconstruction, enhancing scan, diffuse thrombus in bilateral ovarian vein was associated with thickened vessel wall, irregular cystic portion was presented in left adnexa (arrow). (C) Sacral level, bilateral ovarian veins had tortuosity, thrombus filled in lumen of vessel.

  • Fig. 2 Computed tomography scan after treatment for 3 weeks. (A) Coronal reconstruction, enhancing scan, diffuse thrombus was disappeared in bilateral ovarian vein. (B) Sacral level, bilateral adnexae was normalized.


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