Abdominal Pain and Fever Indicative Postpartum Ovarian Vein Thrombosis: A Case Report

Kossi Edem Logbo-Akey, Dédé Régine Diane Ajavon, Kignomon Bingo M’Bortché, P. Y. Kambote, Abdoul‐Samadou Aboubakari, Koffi Akpadza
In: Open Journal of Obstetrics and Gynecology · 2021 · vol. 11(10) , pp. 1378–1385 · doi:10.4236/ojog.2021.1110128 · W3206990643
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Abstract

Introduction: OVT is rare, with an incidence of 0.05% to 0.18% and occurring preferentially in postpartum period. Any delay in management may compromise the patient’s vital prognosis. Observation: We report a case of a 34-year-old patient, G2P3, who delivered twins by cesarean section at 39 weeks of amenorrhea. She presented abdominal pain and fever on the 4th day of postpartum. Biological tests showed a biological inflammatory syndrome and a positive blood culture with gram-positive Staphylococcus. After 72 hours of antibiotics with no clinical or biological improvement, a CT scan revealed a 12 mm thrombus in the lumen of the right ovarian vein’s connection to the inferior vena cava. Antibiotic treatment was continued, associated with an anticoagulant. The evolution was been favorable. Conclusion: Rare and serious pathology, the diagnosis is made using medical imaging. The outcome is generally favorable with antibiotic therapy and anticoagulant therapy.

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