Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare thromboembolic condition. It involves the right ovarian vein in 70–80% of cases. The risk factors for the development of OVT are pregnancy or puerperium, hormone therapy with estrogen, recent surgery or hospitalization, malignancy, pelvic inflammatory diseases...

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Main Authors: Abhay Setia, Farzin Adili, Karl Ludwig, Joerg Herold
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2023/9528088
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author Abhay Setia
Farzin Adili
Karl Ludwig
Joerg Herold
author_facet Abhay Setia
Farzin Adili
Karl Ludwig
Joerg Herold
author_sort Abhay Setia
collection DOAJ
description Ovarian vein thrombosis (OVT) is a rare thromboembolic condition. It involves the right ovarian vein in 70–80% of cases. The risk factors for the development of OVT are pregnancy or puerperium, hormone therapy with estrogen, recent surgery or hospitalization, malignancy, pelvic inflammatory diseases, thrombophilia and idiopathic OVT. We present a rare case of left OVT in a young, non-pregnant woman in her 30 s. A high degree of suspicion is necessitated in patients with the triad of young-middle-aged female, pain abdomen in lower quadrant and hematuria to diagnose OVT. Contrast enhanced computer tomography (CT-venography) is the diagnostic modality of choice. The patient was initially treated with low molecular weight heparin and then switched to direct oral anticoagulants. At 6-monthsfollow-up the patient was free from any symptoms.
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publishDate 2023-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-ac9d6c1a60e240b6876d19638319d65c2025-08-20T03:38:55ZengWileyCase Reports in Medicine1687-96352023-01-01202310.1155/2023/9528088Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein ThrombosisAbhay Setia0Farzin Adili1Karl Ludwig2Joerg Herold3Department of Vascular MedicineDepartment of Vascular MedicineDepartment of RadiologyDepartment of Vascular MedicineOvarian vein thrombosis (OVT) is a rare thromboembolic condition. It involves the right ovarian vein in 70–80% of cases. The risk factors for the development of OVT are pregnancy or puerperium, hormone therapy with estrogen, recent surgery or hospitalization, malignancy, pelvic inflammatory diseases, thrombophilia and idiopathic OVT. We present a rare case of left OVT in a young, non-pregnant woman in her 30 s. A high degree of suspicion is necessitated in patients with the triad of young-middle-aged female, pain abdomen in lower quadrant and hematuria to diagnose OVT. Contrast enhanced computer tomography (CT-venography) is the diagnostic modality of choice. The patient was initially treated with low molecular weight heparin and then switched to direct oral anticoagulants. At 6-monthsfollow-up the patient was free from any symptoms.http://dx.doi.org/10.1155/2023/9528088
spellingShingle Abhay Setia
Farzin Adili
Karl Ludwig
Joerg Herold
Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
Case Reports in Medicine
title Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
title_full Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
title_fullStr Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
title_full_unstemmed Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
title_short Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis
title_sort acute abdominal pain as a result of an isolated left ovarian vein thrombosis
url http://dx.doi.org/10.1155/2023/9528088
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AT farzinadili acuteabdominalpainasaresultofanisolatedleftovarianveinthrombosis
AT karlludwig acuteabdominalpainasaresultofanisolatedleftovarianveinthrombosis
AT joergherold acuteabdominalpainasaresultofanisolatedleftovarianveinthrombosis