• Medicine · Feb 2021

    Case Reports

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

    • Tsai-Lien Chiang, Chuan-Yaw Chang, and Jiann Ruey Ong.
    • Department of Emergency Medicine.
    • Medicine (Baltimore). 2021 Feb 26; 100 (8): e24632e24632.

    RationalePostpartum 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 ConcernsA 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain.DiagnosesThe diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava.InterventionsThe patient was treated with intravenous antibiotics and low-molecular-weight heparin.OutcomesThe patient recovered smoothly without complications.LessonsWe should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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