Ovarian vein thrombosis

Case contributed by Dr Hannah Kelly


Sudden onset right sided flank pain radiating down the anterior right leg.

Patient Data

Age: 45 years
Gender: Female

The right ovarian vein contains a length of non occlusive thrombus. This does not appear to extend into the proximal ovarian vein or IVC.

No other abnormality identified.

Case Discussion

Ovarian vein thrombosis usually presents as fever and abdominal pain in postpartum or post-op patients. This case was unusual as the patient did not have an obstetric/surgical history. The cause was thought to be due to the patient ceasing the combined oral contraceptive pill 4 months ago and restarting it 2 weeks prior to presentation.

The patient was commenced on anticoagulation and referred for thrombophilia screening.

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Case information

rID: 56517
Published: 20th Nov 2017
Last edited: 21st Nov 2017
System: Gynaecology
Inclusion in quiz mode: Included

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