Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review

Autor: Yi-Ting Chen, Yi-Lun Lin, Yueh-Ting Tsai, Jen-Yu Wen, Tsun-Wen Hsiao, Yung-Chieh Tsai
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Taiwanese Journal of Obstetrics & Gynecology, Vol 62, Iss 2, Pp 369-371 (2023)
Druh dokumentu: article
ISSN: 1028-4559
DOI: 10.1016/j.tjog.2022.08.018
Popis: Objective: We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience. Case report: A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments were given but with unsatisfactory effect. As the patient had completed family planning, a hysterectomy was scheduled. However, on the sixth postoperative day, the patient complained of low abdominal pain with fever on and off. After a series of examinations, right OVT was diagnosed. The patient was treated with antibiotics only. Under close surveillance, the OVT resolved spontaneously, and the patient was discharged. Conclusion: Diagnosis of OVT requires highly suspicion owing to its rarity and non-specific presentation. OVT is a potentially serious venous thromboembolism that sometimes can be life threatening. Anticoagulant treatment is still controversial. Conventional Tomography with contrast medium could detect early OVT with high sensitivity and specificity.
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