| Ovarian vein thrombosis during cesarean section. A report of two cases. | |
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MedLine Citation:
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PMID: 9172126 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Puerperal ovarian vein thrombosis occurs in 0.2-0.5% of deliveries. It is usually thought to result from infection, but it has been hypothesized that thrombosis may occur as a primary event, and radiologic studies raise the possibility that ovarian vein thrombosis may occur quite frequently. CASES: Case 1 had right ovarian vein thrombosis diagnosed at the time of nonemergency cesarean section for placenta previa. This was treated with ligation of the infundibulopelvic ligament above the level of the clot. Subsequent magnetic resonance imaging showed contralateral ovarian vein thrombosis, and therefore anticoagulant therapy was begun. The patient was asymptomatic. Case 2 had right ovarian vein thrombosis extending to the inferior vena cava diagnosed at elective repeat cesarean section. She was heparinized in the recovery room; subsequent ventilation/perfusion scan showed a probable pulmonary embolism. Both patients recovered uneventfully. CONCLUSION: These two cases demonstrate that ovarian vein thrombosis may occur as a primary event, in the absence of infection, and result in pulmonary embolism. Individualized management based on operative findings is recommended. |
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Authors:
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V A Catanzarite; R N Low; D Y Wong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 42 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1997 May |
Date Detail:
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Created Date: 1997-08-18 Completed Date: 1997-08-18 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 315-8 Citation Subset: IM |
Affiliation:
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Section of Maternal-Fetal Medicine, Mary Birch Hospital for Women, Sharp Memorial Hospital, San Diego, California, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anticoagulants / therapeutic use Cesarean Section* Female Fetal Macrosomia Humans Ovary / blood supply* Placenta Previa Pregnancy Pregnancy Complications, Cardiovascular* / diagnosis, therapy Pulmonary Embolism / etiology Thrombosis* / diagnosis, therapy |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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