Royo, P., Alonso-Burgos, A., García-Manero, M., Lecumberri, R., & Alcázar, J. L. (2008). Postpartum ovarian vein thrombosis after cesarean delivery: a case report. Journal of medical case reports. https://doi.org/10.1186/1752-1947-2-105
Royo P, Alonso-Burgos A, García-Manero M, Lecumberri R, Alcázar JL. Postpartum ovarian vein thrombosis after cesarean delivery: a case report. Journal of medical case reports. 2008. doi:10.1186/1752-1947-2-105
Royo, Pedro, et al. "Postpartum ovarian vein thrombosis after cesarean delivery: a case report." Journal of medical case reports, 2008.
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Postpartum ovarian vein clots are rare, and CT detects them best
A 2008 case report of a 22-year-old woman describes a clot in the left ovarian vein after an urgent cesarean delivery. She returned to hospital with pain, fever and breathlessness after discharge. CT imaging confirmed the clot, and she received blood thinners and antibiotics.
Key Findings
Earlier studies cited by the authors put the rate at 0.002% to 0.05% of deliveries, with cesarean birth raising clot risk to 1–2%.
The right ovarian vein carries the clot in 70–90% of cases and both sides in 11–14%. This patient had a complete left-sided clot.
Ultrasound finds the clot with a sensitivity of 52%, MRI 92% and CT 100%.
A clot reaching the lung complicates 13% of cases, with a reported mortality of 4%.
Interpretation
The paper is a single-patient case report with a literature discussion. Earlier studies the authors cite supply the rate, imaging and lung-clot figures. The authors state that no consensus exists on treatment type, dose or length. They name clotting disorders (thrombophilias) and uterine infection after birth as the likeliest causes.
RRM Context
Pregnancy changes clotting and slows pelvic blood flow, and surgery adds risk. Restorative reproductive medicine considers how birth shapes recovery and later reproductive health. This case documents one serious complication after cesarean birth.
Our editorial summary of this paper, not the article's abstract.
Abstract
Introduction
Postpartum ovarian vein thrombosis is an uncommon complication; incidence varies between 0.002% and 0.05%. It most often occurs during the 2-15 days following delivery.
Case Presentation
A 22-year-old pregnant woman at term presented to hospital with uterine contractions, abdominal pain, nausea and vomiting. After delivery an ovarian vein thrombosis was diagnosed.
Conclusion
Low-molecular weight heparin with broad-spectrum antibiotics are the accepted therapy in non-complicated cases of postpartum ovarian vein thrombosis.
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