EC Gastroenterology and Digestive System

Introduction: Ovarian vein thrombosis is a likely severe complication correlated with conditions such as pelvic inflammatory disease, malignancy and recent surgery. Also it’s associated with pregnancy.

Case Report: A 28 year old female, presented to the casualty complaining of right iliac fossa pain for 1 day prior to admission (4 days post delivery of her second child) associated with slight fever and anorexia, with single episode of vomiting she denied any preceding periumbilical pain. On clinical examination, there is tenderness on deep palpation to the right iliac fossa with positive rebound tenderness and guarding. On further investigations, laboratory investigation showed HB 12 g/dl, WBCS 14,000, Platelets 340,000, Urea 37 mmol/L, Creatinine 0.7 mg/dL, Na 135 mmol/, K 3.3 mmol/L. Ultrasound abdomen couldn’t exclude acute appendicitis, showed bulky uterus. intraoperatively, there were odema and Ischemic changes in the right fallopian tube and right ovary. A huge hard longitudinal retroperitoneal mass was found arising from the uterus overlying right psoas muscle extending upward, the overlying peritoneum was dissected. Thrombosed ovarian vessels (A & V) were excised together with the necrotic right ovary and right tube after consent from the family. One week later, the patient showed dramatic recovery.

Conclusion: A right side abdominal pain is not only confined to appendiceal diseases, so other disease should be put in consideration.

Keywords: Right Iliac Fossa Pain; Ovarian Vein Thrombosis; Acute Appendicitis

1. Michael Roche., et al. “Postpartum Ovarian Vein Thrombosis Mimicking Endometritis: A Case Report”. Case Reports and Literature Review 1 (2018).
2. Fei Z., et al. “Pulmonary embolism caused by postpartum ovarian vein thrombophlebitis after vaginal delivery: Case report and brief review of the literature”. Journal of Clinical Ultrasound (2020): 1-3.
3. Sharma P and Abdi S. “Ovarian vein thrombosis”. Clinical Radiology 9 (2012): 893-898.
4. Dougan C., et al. “Postpartum ovarian vein thrombosis”. The Obstetrician and Gynaecologist 4 (2016): 291-299.
5. Aguilar S., et al. “Ovarian vein thrombosis: a case report”. International Journal of Medical Reviews and Case Reports 2 (2018): 1.
6. Claire Dougan., et al. “Postpartum ovarian vein thrombosis”. The Obstetrician and Gynaecologist 18 (2016): 291-299.
7. Sofia A., et al. “Ovarian Vein Thrombosis: A Case Report”. International Journal of Medical Reviews and Case Reports 8 (2019): 494-498.
8. Signe Q., et al. “Ovarian vein thrombosis after delivery”. Phlebologie 47 (2018): 277–278.
9. Aidara CM., et al. “Postpartum Ovarian Vein Thrombosis (POVT): A Short Focus Update”. OMICS Journal of Radiology 7 (2018): 295.
10. MM Alalqam., et al. “The challenges of diagnosing idiopathic ovarian vein thrombosis: Case report”. Journal of Surgery Case Reports 60 (2019): 63-65.
11. Kodali N., et al. “Diagnosis and management of ovarian vein thrombosis in a healthy individual: a case report and a literature review”. Journal of Thrombosis and Haemostasis 2 (2017): 242-245.