Ovarian Vein Thrombosis after Pelvic Surgery in Patient with Recent Coronavirus Disease

Gregory Vurture; Alicia Palmieri; Nina Jacobson

doi:10.1016/j.jmig.2021.08.002

Ovarian Vein Thrombosis after Pelvic Surgery in Patient with Recent Coronavirus Disease

J Minim Invasive Gynecol. 2021 Nov;28(11):1951-1952. doi: 10.1016/j.jmig.2021.08.002. Epub 2021 Aug 8.

Authors

Gregory Vurture¹, Alicia Palmieri², Nina Jacobson²

Affiliations

¹ Department of Urogynecology, Jersey Shore University Medical Center, Neptune, New Jersey (all authors). Electronic address: gregory.vurture@hmhn.org.
² Department of Urogynecology, Jersey Shore University Medical Center, Neptune, New Jersey (all authors).

Abstract

An abundance of literature has demonstrated that coronavirus disease (COVID-19) contributes to a hypercoagulable state that is associated with venous thromboembolic events. Data on postoperative complications after a mild COVID-19 infection are limited. We report a case of ovarian vein thrombosis after pelvic surgery in a patient with a recent mild COVID-19 infection. The patient presented with complaints of fever and worsening right-sided abdominal pain postoperatively and was found to have a right ovarian vein thrombosis. Thrombophilia workup was negative. The hypercoagulable state of patients with COVID-19 may have implications on postoperative complications after gynecologic surgery even in cases of mild infection. Further research is needed to determine the optimal thromboembolic prophylaxis for patients undergoing pelvic surgery after a COVID-19 infection.

Keywords: Hypercoagulability; Hysterectomy; Robotic surgery; Septic pelvic thrombophlebitis.

Publication types

Case Reports

MeSH terms

COVID-19*
Female
Gynecologic Surgical Procedures / adverse effects
Humans
SARS-CoV-2
Thrombosis*
Venous Thrombosis* / diagnostic imaging
Venous Thrombosis* / etiology