Postpartum ovarian vein thrombophlebitis presenting as vaginal bleeding: A case report

Medicine (Baltimore). 2021 Feb 26;100(8):e24632. doi: 10.1097/MD.0000000000024632.

Abstract

Rationale: Postpartum ovarian vein thrombophlebitis (POVT) is a rare condition, and it can lead to severe complications and mortality. Here we report a patient who presented with vaginal bleeding and the diagnosis of POVT was confirmed by imaging.

Patient concerns: A 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain.

Diagnoses: The diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava.

Interventions: The patient was treated with intravenous antibiotics and low-molecular-weight heparin.

Outcomes: The patient recovered smoothly without complications.

Lessons: We should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Female
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Ovary / blood supply*
  • Puerperal Disorders / drug therapy
  • Puerperal Disorders / pathology*
  • Thrombophlebitis / complications
  • Thrombophlebitis / drug therapy
  • Thrombophlebitis / pathology*
  • Uterine Hemorrhage / etiology

Substances

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