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Postpartum ovarian vein thrombosis – unusual clinical presentation

Nawal M Hubaishi, Fatima Cherifi, Nighat A Raza, Farida Adam, Salma A Almahdi, Lama O Sibai, Omyma A Abdulkarim
Published in : HAMDAN MEDICAL JOURNAL ; Vol 10, No 1 (2017)
DOI : 10.7707/hmj.608


Postpartum ovarian vein thrombosis is a rare but serious condition. The clinical symptoms are not specific, as a result of which misdiagnosis, leading to delayed management, is unfortunately common. Therefore, the diagnosis should always be considered in patients presenting with acute abdominal pain and fever during the postpartum period. It can be diagnosed by non-invasive radiological modalities, following which early therapy with anticoagulants and broad-spectrum antibiotics can be instituted. We present the case of a 33-year-old woman presenting to an emergency department 2 days post partum with fever and acute pain in the right lower abdominal quadrant. The patient was initially diagnosed as having endometritis and managed accordingly, however, as her condition did not improve, a more serious pathology was suspected. The appropriate radiological procedures corrected the diagnosis and treatment was initiated accordingly.


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