Ovarian vein thrombosis after vaginal delivery: a case report
10.3760/cma.j.issn.1007-9408.2018.11.013
- VernacularTitle:阴道分娩后卵巢静脉血栓一例
- Author:
Qiuming WANG
1
;
Haiying WU
;
Huanping WANG
Author Information
1. 河南省人民医院产科
- Keywords:
Puerperal disorders;
Venous thrombosis;
Ovary
- From:
Chinese Journal of Perinatal Medicine
2018;21(11):777-779
- CountryChina
- Language:Chinese
-
Abstract:
Ovarian vein thrombosis (OVT) is a rare, insidious and dangerous disease mostly occurs in the postpartum period. Early diagnosis and timely treatment are very important and may avoid serious complications. Here we reported a woman who had a fever and left back pain three days after vaginal delivery. Enhanced CT suggested that thrombosis occurred in the left ovarian vein, and even the renal vein was involved. Thrombus susceptibility gene detection revealed that the plasminogen activator inhibitor-1 gene was 4G/5G heterozygous genotype and the 5,10- methylenetetra-hydrofolate reductase gene was C/T heterozygous genotype. Anticoagulant treatments with low-molecular-weight heparin and rivaroxaban were effective.