Postpartum Ovarian Vein Thrombosis: Two Cases and Review of Literature

Introduction. We presented two cases of late presentation of ovarian vein thrombosis postpartum following vaginal delivery and cesarean section within a short period in our institution. Both of them had pelvic pain following their deliveries which was associated with fever and chills. One of them was quite a big-sized thrombophlebitic vein which was about 10 x 6 x 5 centimeters following a computed tomography. They were both treated initially for urinary tract infection, while a large ovarian vein thrombosis was not diagnosed in the second patient until her emergency department admission. Conclusion. Ovarian vein thrombosis is rare, but could present late, and difficult to diagnose, hence, should be considered as a differential diagnosis in a postpartum woman with fever and tender pelvic mass. Copyright (C) 2009 Amos A. Akinbiyi et al.

引言。我们介绍了在我院短时间内出现的两例产后卵巢静脉血栓形成延迟病例，分别为阴道分娩和剖宫产之后。她们在分娩后均出现盆腔疼痛，伴有发热和寒战。其中一例经计算机断层扫描显示为较大的血栓性静脉，约10×6×5厘米。她们最初均被当作尿路感染进行治疗，而第二例患者直到急诊入院时才诊断出患有大面积卵巢静脉血栓。结论。卵巢静脉血栓形成较为罕见，但可能延迟出现且难以诊断，因此，对于产后发热且盆腔有压痛肿块的女性，应将其作为一种鉴别诊断考虑。版权所有(C) 2009阿莫斯·A·阿金比伊等人。