Imaging of Postpartum Ovarian Vein Thrombosis
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Introduction
Ovarian vein thrombosis (OVT) is a rare but serious postpartum complication. Clinical findings of OVT are nonspecific; abdominal pain in lower quadrants or right flank pain, fever, and leucocytosis are major findings. Clinical symptoms may mimic especially acute appendicitis and may also resemble many other various clinical situations such as, pelvic infection, ovarian torsion, tuboovarian abscess, hematoma of the broad ligament, and pyelonephritis [1–3].
OVT can cause serious complications such as sepsis, inferior vena cava (IVC) thrombosis, pulmonary thromboembolism, and renal vein thrombosis and they may cause death. Systemic anticoagulation and intravenous antibiotics are the preferred treatment [1–3]. Before the development of cross-sectional imaging methods, OVT was difficult to diagnose. Most cases could be diagnosed at surgery. Since then, the CT, sonographic, and MR imaging findings of this pathology have been well described, and these methods have been shown to be reliable and sensitive for detecting OVT [1, 4–6]. This article presents the imaging features of OVT on ultrasound (US), color Doppler US, computed tomography (CT), and magnetic resonance imaging (MRI) in postpartum period.

Case Report
A 21-year-old primigravida, who had undergone a normal spontaneous vaginal delivery and Bumm curettage for the rest placenta, presented at 5 days postpartum to our emergency department with severe, stabbing right-sided abdominal and flank pain. She had no nausea, vomiting, anorexia, diarrhea, or fever. Abdominal examination revealed right lower quadrant pain with rebound tenderness.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485490/
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