Ovarian vein thrombosis

Ovarian vein thrombosis
Presentation by:Rekha Mody, M.D.

* Post partum Ovarian vein thrombosis
* Pathophysiology-venous stasis and hypercoagulability; recent surgery, malignancy, Crohn’s disease increases probability
* Frequency- diagnosed on the right side in 80-90% of the affected postpartum patients; 1/2000 deliveries; usually within 1 week of birth
* Treatment-anticoagulation and IV antibiotics
* Why it occurs-
o in the immediate post partum period there is retrograde flow in the left ovarian vein and anterograde flow in the right ovarian vein
o The right ovarian vein is longer than the left ovarian vein
o Right ovarian vein many valves that may attract thrombosis
o Ovarian veins enlarge during pregnancy
o Period of stasis after birth
* Complications-
o Ovarian vein thrombophlebitis sepsis
o Thrombus in the IVC pulmonary embolism
References

Ovarian vein thrombosis.ppt