TITLE:
Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report
AUTHORS:
K. E. Logbo-Akey, D. R. Ajavon, K. B. M’Bortche, P. Kambote, A. S. Aboubakari, K. Akpadza
KEYWORDS:
Abdominal Pain, Fever, Post Partum, Ovarian Vein Thrombosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.10,
October
21,
2021
ABSTRACT: 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 4th 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.