Maternal Postpartum Ovarian Vein Thrombosis Complicating an Intrauterine Death with Hydrops Foetalis Followed by a Successful Pregnancy: a Case Report Abstract

V LEE, WL LAU, PP IU, WC LEUNG, R CHIN

Postpartum ovarian vein thrombosis is a rare but serious postpartum complication. The diagnosis is usually made by laparotomy or laparoscopy. With an advance in diagnostic radiology, postpartum ovarian vein thrombosis could be diagnosed by ultrasound and / or computed tomographic scan provided we have considered this diagnosis in postpartum women with fever and localising abdominal pain not responding to antibiotics therapy. The mainstay of treatment is anticoagulation. Here we report a case of postpartum ovarian vein thrombosis complicating an intrauterine death with hydrops foetalis, diagnosed by laparotomy and successfully managed with anticoagulation. Postpartum thromboprophylaxis was given in her subsequent pregnancy.

Hong Kong J Gynaecol Obstet Midwifery 2008; 8:54-7

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