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

• Cho IA
• Park JE
• Ko MK
• Park JK
• Shin JK
• Choi WJ
• Lee SA
• Lee JH
• Paik WY

• KMID: 2274117
• DOI: http://doi.org/10.5468/KJOG.2011.54.11.736

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.

Reference

1. Dunnihoo DR, Gallaspy JW, Wise RB, Otterson WN. Postpartum ovarian vein thrombophlebitis: a review. Obstet Gynecol Surv. 1991. 46:415–427.

2. Sinha D, Yasmin H, Samra JS. Postpartum inferior vena cava and ovarian vein thrombosis: a case report and literature review. J Obstet Gynaecol. 2005. 25:312–313.

3. James AH. Venous thromboembolism in pregnancy. Arterioscler Thromb Vasc Biol. 2009. 29:326–331.

4. Goldhaber SZ, Tapson VF. DVT FREE Steering Committee. A prospective registry of 5,451 patients with ultrasound-confirmed deep vein thrombosis. Am J Cardiol. 2004. 93:259–262.

5. Simons GR, Piwnica-Worms DR, Goldhaber SZ. Ovarian vein thrombosis. Am Heart J. 1993. 126:641–647.

6. Heavrin BS, Wrenn K. Ovarian vein thrombosis: a rare cause of abdominal pain outside the peripartum period. J Emerg Med. 2008. 34:67–69.

7. Yildirim E, Kanbay M, Ozbek O, Coskun M, Boyacioglu S. Isolated idiopathic ovarian vein thrombosis: a rare case. Int Urogynecol J Pelvic Floor Dysfunct. 2005. 16:308–310.

8. Akinbiyi AA, Nguyen R, Katz M. Postpartum ovarian vein thrombosis: two cases and review of literature. Case Report Med. 2009. 2009:101367.

9. Kominiarek MA, Hibbard JU. Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv. 2006. 61:337–342.

10. Dessole S, Capobianco G, Arru A, Demurtas P, Ambrosini G. Postpartum ovarian vein thrombosis: an unpredictable event: two case reports and review of the literature. Arch Gynecol Obstet. 2003. 267:242–246.

11. Hong JS, Sohn YK, Kim KW, Jeon YT, Park JS, Jun JK, et al. A case of postpartum ovarian vein thrombosis after vaginal delivery. Korean J Obstet Gynecol. 2002. 45:2299–2302.

12. Brown TK, Munsick RA. Puerperal ovarian vein thrombophlebitis: a syndrome. Am J Obstet Gynecol. 1971. 109:263–273.

13. Berlin M. Ovarian vein thrombosis. Am J Obstet Gynecol. 1974. 118:880–881.

14. Carr S, Tefera G. Surgical treatment of ovarian vein thrombosis. Vasc Endovascular Surg. 2006. 40:505–508.