Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis.
Abhay SetiaFarzin AdiliKarl LudwigJoerg HeroldPublished in: Case reports in medicine (2023)
Ovarian vein thrombosis (OVT) is a rare thromboembolic condition. It involves the right ovarian vein in 70-80% of cases. The risk factors for the development of OVT are pregnancy or puerperium, hormone therapy with estrogen, recent surgery or hospitalization, malignancy, pelvic inflammatory diseases, thrombophilia and idiopathic OVT. We present a rare case of left OVT in a young, non-pregnant woman in her 30 s. A high degree of suspicion is necessitated in patients with the triad of young-middle-aged female, pain abdomen in lower quadrant and hematuria to diagnose OVT. Contrast enhanced computer tomography (CT-venography) is the diagnostic modality of choice. The patient was initially treated with low molecular weight heparin and then switched to direct oral anticoagulants. At 6-monthsfollow-up the patient was free from any symptoms.
Keyphrases
- contrast enhanced
- middle aged
- abdominal pain
- direct oral anticoagulants
- rare case
- venous thromboembolism
- case report
- magnetic resonance imaging
- diffusion weighted
- computed tomography
- magnetic resonance
- pulmonary embolism
- atrial fibrillation
- dual energy
- chronic pain
- minimally invasive
- liver failure
- pregnant women
- diffusion weighted imaging
- coronary artery bypass
- oxidative stress
- machine learning
- deep learning
- stem cells
- growth factor
- rectal cancer
- spinal cord injury
- estrogen receptor
- mesenchymal stem cells
- sleep quality
- coronary artery disease
- intensive care unit
- decision making
- surgical site infection
- pet ct