Author(s)

K. E. Logbo-Akey^1*, D. R. Ajavon², K. B. M’Bortche³, P. Kambote¹, A. S. Aboubakari¹, K. Akpadza⁴

¹Department of Gynecology and Obstetrics, CHU Kara, University of Kara, Kara, Togo.
²Gynecology and Obstetrics Department of CHR Tomdé, University of Kara, Kara, Togo.
³Clinic of the Togolese Association for Family Welfare, University of Lome, Lome, Togo.
⁴Department of Gynecology and Obstetrics, CHU Lome, University of Lome, Lome, Togo.

Introduction: OVT is rare, with an incidence of 0.05% to 0.18% and occurring preferentially in postpartum period. Any delay in management may compromise the patient’s vital prognosis. Observation: We report a case of a 34-year-old patient, G2P3, who delivered twins by cesarean section at 39 weeks of amenorrhea. She presented abdominal pain and fever on the 4^th day of postpartum. Biological tests showed a biological inflammatory syndrome and a positive blood culture with gram-positive Staphylococcus. After 72 hours of antibiotics with no clinical or biological improvement, a CT scan revealed a 12 mm thrombus in the lumen of the right ovarian vein’s connection to the inferior vena cava. Antibiotic treatment was continued, associated with an anticoagulant. The evolution was been favorable. Conclusion: Rare and serious pathology, the diagnosis is made using medical imaging. The outcome is generally favorable with antibiotic therapy and anticoagulant therapy.

Abdominal Pain, Fever, Post Partum, Ovarian Vein Thrombosis

Logbo-Akey, K. , Ajavon, D. , M’Bortche, K. , Kambote, P. , Aboubakari, A. and Akpadza, K. (2021) Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report. Open Journal of Obstetrics and Gynecology, 11, 1378-1385. doi: 10.4236/ojog.2021.1110128.