Wang JJ, Hui CC, Ji YD, Xu W. Computed tomography diagnosed left ovarian venous thrombophlebitis after vaginal delivery: A case report. World J Clin Cases 2023; 11(4): 896-902 [PMID: 36818636 DOI: 10.12998/wjcc.v11.i4.896]
Corresponding Author of This Article
Wei Xu, MD, Academic Editor, Department of Emergency Medicine, The Ninth People’s Hospital of Suzhou City, No. 2666 Ludang Road, Suzhou 215200, Jiangsu Province, China. szjyxw82@126.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2023; 11(4): 896-902 Published online Feb 6, 2023. doi: 10.12998/wjcc.v11.i4.896
Computed tomography diagnosed left ovarian venous thrombophlebitis after vaginal delivery: A case report
Jin-Jin Wang, Chu-Chu Hui, Yi-Ding Ji, Wei Xu
Jin-Jin Wang, Yi-Ding Ji, Department of Radiology, The Ninth People’s Hospital of Suzhou City, Suzhou 215200, Jiangsu Province, China
Chu-Chu Hui, Department of Ultrasound, The Ninth People’s Hospital of Suzhou City, Suzhou 215200, Jiangsu Province, China
Wei Xu, Department of Emergency Medicine, The Ninth People’s Hospital of Suzhou City, Suzhou 215200, Jiangsu Province, China
Author contributions: Wang JJ, Ji YD, and Xu W designed the study; Wang JJ and Hui CC wrote the manuscript; Wang JJ and Hui CC collected and input the data; Xu W carried out the statistical analysis; all authors reviewed the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Xu, MD, Academic Editor, Department of Emergency Medicine, The Ninth People’s Hospital of Suzhou City, No. 2666 Ludang Road, Suzhou 215200, Jiangsu Province, China. szjyxw82@126.com
Received: September 6, 2022 Peer-review started: September 6, 2022 First decision: December 13, 2022 Revised: December 21, 2022 Accepted: January 12, 2023 Article in press: January 12, 2023 Published online: February 6, 2023
Abstract
BACKGROUND
Postpartum ovarian vein thrombophlebitis (POVT) is a rare but serious postpartum complication that affects mostly postpartum women. A high index of suspicion is required when faced with sudden postpartum abdominal pain.
CASE SUMMARY
A 25-year-old healthy woman who accepted a vaginal delivery procedure suffered fever (temperature 39.6℃) one day after delivery, accompanied with left lower abdominal pain. Physical examination indicated mild tenderness in the left lower abdomen, accompanied with rebound pain. The patient was confirmed to have left ovarian venous thrombosis with inflammation after receiving a multi-detector row computed tomography scan.
CONCLUSION
POVT is a rare and dangerous postpartum complication. A high index of suspicion is required for the occurrence of ovarian venous thrombosis when faced with postpartum abdominal pain and fever. Early application of Doppler ultrasound, computed tomography, magnetic resonance imaging and other auxiliary examinations is conducive to timely and accurate diagnosis of POVT, thus reducing maternal mortality.
Core Tip: Postpartum ovarian vein thrombophlebitis (POVT) is a rare but serious postpartum complication that affects mostly postpartum women. POVT is more likely to occur in patients after cesarean section and in the right ovarian vein. However, in our case, POVT occurred in the left ovarian vein, which is rare.
