Ovarian vein thrombosis after bilateral adnexectomy in a symptomatic patient with concomitant pulmonary embolism: A case report

Autor: Yoshifumi Takahashi, Shigeki Matsubara, Kohei Tamura, Takahiro Koyanagi, Takahiro Yoshiba, Suzuyo Takahashi, Akiyo Taneichi, Yuji Takei, Yasushi Saga, Hiroyuki Fujiwara
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Taiwanese Journal of Obstetrics & Gynecology, Vol 62, Iss 4, Pp 559-561 (2023)
Druh dokumentu: article
ISSN: 1028-4559
DOI: 10.1016/j.tjog.2022.09.017
Popis: Objective: Ovarian vein thrombosis (OVT) after adnexectomy is usually asymptomatic, and pulmonary embolism (PE) has not been reported following this type of OVT. We present the case of a patient with symptomatic OVT after bilateral adnexectomy who experienced PE. Case report: A 52-year-old woman underwent total laparoscopic hysterectomy and bilateral adnexectomy for early stage endometrial cancer. On the 12th postoperative day, she presented with a fever of 38.7 °C. Computed tomography (CT) revealed bilateral OVT. Anticoagulant and antibacterial therapy was initiated; after five days, the fever subsided. On the 19th postoperative day, CT revealed a decrement in OVT; however, PE was observed. By the 60th postoperative day, PE disappeared. No deep vein thromboses were detected at any time. Conclusion: This case highlights that OVT, even after adnexectomy, can cause symptoms and PE can occur after this type of OVT. Anticoagulation therapy may be considered in such cases.
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