Postpartum ovarian vein thrombosis after cesarean section and vaginal delivery:Two case reports  

作　　者：Hong-Dan Zhu Wei Shen He-Li Wu Xia Sang Yun Chen Li-Shu Geng Tao Zhou 

机构地区：[1]Department of Obstetrics and Gynecology,Affiliated Xiaoshan Hospital,Hangzhou Normal University,Hangzhou 311200,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2023年第16期3877-3884,共8页世界临床病例杂志

摘　　要：BACKGROUND Postpartum ovarian vein thrombosis(POVT)is a rare puerperal complication.It is easily missed or misdiagnosed due to its insidious onset and lack of specific clinical symptoms and signs.This paper reports two patients who developed right ovarian vein thrombosis after cesarean section and vaginal delivery,respectively.CASE SUMMARY Case 1 was a 32-year-old female who underwent a cesarean section in labor at 40 wk of gestation due to fetal distress.The patient was persistently febrile after the operation and escalated antibiotic treatment was ineffective.POVT was diagnosed by abdominal computed tomography(CT)and was treated by increasing the dose of low molecular weight heparin(LMWH).Case 2 was a 21-year-old female with a spontaneous vaginal delivery at 39 wk of gestation.The patient developed fever and abdominal pain 3 days after delivery.POVT was promptly identified by abdominal CT,and the condition was quickly controlled after treatment with LMWH and antibiotics.CONCLUSION These two cases occurred after cesarean section and vaginal delivery,respectively.The diagnosis was mainly based on imaging examination due to the unspecific clinical symptoms and signs,the CT scan provided an especially high diagnostic value.Comparing these two cases,escalating antibiotics alone did not provide significant therapeutic benefit,but the early escalation of anticoagulant dosage seemed to shorten the disease course.Therefore,early diagnosis by CT followed by aggressive anticoagulation might have a positive effect on improving the prognosis of the disease.

关 键 词：Postpartum ovarian vein thrombosis Computed tomography ANTICOAGULATION ANTI-INFECTION Case report 

分 类 号：R714.6[医药卫生—妇产科学]