[Right sided lower abdominal pain two weeks after delivery]

Praxis (Bern 1994). 2006 Nov 22;95(47):1840-4. doi: 10.1024/1661-8157.95.47.1840.
[Article in German]

Abstract

We report the CT imaging findings of a 33 year old patient who presented to the emergency department with increasing right lower abdominal pain and shivering. She delivered a healthy baby two weeks ago after induction in the 39th week of pregnancy due to a large fetus. Two days after delivery, sterilisation was performed. Clinically the primary differential diagnosis was appendicitis. However, computed tomography revealed thrombosis of the right ovarian vein. Consequently, management was altered appropriately with administration of antibiotics as well as a therapeutic dose of low molecular weight heparin.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / diagnosis
  • Abdominal Pain / etiology*
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use
  • Appendicitis / diagnosis
  • Diagnosis, Differential
  • Emergencies
  • Female
  • Fibrinolytic Agents / administration & dosage
  • Fibrinolytic Agents / therapeutic use
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Magnetic Resonance Imaging
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / diagnostic imaging
  • Ovary / blood supply*
  • Ovary / diagnostic imaging
  • Puerperal Disorders / diagnosis*
  • Puerperal Disorders / diagnostic imaging
  • Sepsis / complications
  • Sepsis / diagnosis
  • Sepsis / drug therapy
  • Teratoma / complications*
  • Teratoma / diagnostic imaging
  • Tomography, X-Ray Computed
  • Veins
  • Venous Thrombosis* / complications
  • Venous Thrombosis* / diagnostic imaging
  • Venous Thrombosis* / drug therapy

Substances

  • Anti-Bacterial Agents
  • Anticoagulants
  • Fibrinolytic Agents
  • Heparin, Low-Molecular-Weight