Document Detail

Postpartum ovarian vein thrombosis causing severe hydronephrosis.
MedLine Citation:
PMID:  20093877     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Ovarian vein thrombosis is a rare postpartum complication. The diagnosis is often delayed, given that the differential diagnosis is broad. This case illustrates an unusual presentation of postpartum ovarian vein thrombosis. CASE: A young woman presented on postpartum day 3 after an uncomplicated vaginal delivery with severe right lower quadrant abdominal pain and right thigh numbness. A computed tomographic scan demonstrated severe right hydronephrosis and right pyelocalyceal rupture and was suggestive of a right ovarian vein thrombosis. She was admitted and treated with a right nephrostomy tube and anticoagulation. Four weeks after nephrostomy tube placement, she underwent right antegrade nephrostography, and free flow of contrast from her distal ureter to her bladder was seen without evidence of obstruction. CONCLUSION: Ovarian vein thrombosis should be considered in the differential diagnosis of any woman in the puerperium presenting with pelvic or abdominal pain.
Shelly Welch Holmstr?m; Brian P Barrow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  115     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  452-4     Citation Subset:  AIM; IM    
University of South Florida, Tampa, Florida, USA.
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MeSH Terms
Abdominal Pain / etiology
Hydronephrosis / etiology*,  radiography,  surgery
Nephrostomy, Percutaneous
Ovary / blood supply*
Puerperal Disorders / radiography*
Tomography, X-Ray Computed
Venous Thrombosis / complications*

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