Ovarian vein thrombosis: a rare but not to be forgotten cause of abdominal pain

A healthy 38-year-old woman, with no significant medical or surgical history, was referred to the gynaecology emergency department with acute low quadrant abdominal pain and nausea. On examination, painful palpation of right iliac fossa, abdominal guarding and positive Blumberg's sign were note...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2021-12, Vol.14 (12), p.e246542
Main Authors: Martins, Matilde Matos, Carneiro, Carolina, Leitão, Susana, Costa, Cristina
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - etiology
Abscesses
Adult
Anticoagulants
Appendicitis
Birth control
Case reports
Cysts
Fallopian tubes
Family medical history
Female
Fever
Gynecology
Humans
Inflammatory diseases
Laboratories
Medical imaging
Mortality
Ovaries
Ovary - diagnostic imaging
Pain
Pelvic inflammatory disease
Postpartum period
Proteins
Thromboembolism
Thrombosis
Tomography, X-Ray Computed
Ultrasonic imaging
Vagina
Veins & arteries
Vena Cava, Inferior - diagnostic imaging
Womens health
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A healthy 38-year-old woman, with no significant medical or surgical history, was referred to the gynaecology emergency department with acute low quadrant abdominal pain and nausea. On examination, painful palpation of right iliac fossa, abdominal guarding and positive Blumberg's sign were noted. An abdominal-pelvic CT scan showed a hypodense tubular structure with peripheral enhancement to the right of the inferior vena cava, suggestive of thrombosis of the right ovarian vein. The only risk factor identified was the use of the combined contraceptive pill.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-246542