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Case Reports
. 2020 Aug 29;12(8):e10111.
doi: 10.7759/cureus.10111.

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Abdul Basit  1 , Pushpinder Kaur  1 , Diana M Villanueva  1 , Muhammad Tahir  2 , Mark Sonnenschine  3
Affiliations
Case Reports

Idiopathic Bilateral Ovarian Vein Thrombosis in a Non-Pregnant Healthy Patient: A Case Report and Review of the Literature

Abdul Basit et al. Cureus. .

Abstract

Ovarian vein thrombosis (OVT) is a potentially life-threatening condition, and it is typically related to the peripartum period; however, it is also associated with pelvic inflammatory disease, recent pelvic or abdominal surgery, inflammatory bowel disease, thrombophilia, malignancy, and sepsis. Idiopathic isolated OVT is rare and is usually presented as case reports in the medical literature. In this report, we present a case of bilateral OVT in a postmenopausal female with no identifiable risk factors and normal coagulation profile workup to highlight the importance of considering it as a differential diagnosis in female patients presenting with abdominal pain. Early identification can prevent potentially life-threatening complications. Management is often conservative, and the choice of anticoagulation is based on the patient's medical conditions. In this particular scenario, the patient was managed with low molecular weight heparin (LMWH) and transitioned to direct oral anticoagulant (DOAC) before discharge.

Keywords: bilateral thrombosis; idiopathic ovarian vein thrombosis; ovarian vein thrombosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT image showing filling defect in the right and left gonadal vein (red arrows)
CT: computed tomography
Figure 2
Figure 2. CT of the abdomen (coronal section) showing bilateral OVT as indicated by the red arrows
CT: computed tomography; OVT: ovarian vein thrombosis; AO: abdominal aorta; IVC: inferior vena cava; LRV: left renal vein
See this image and copyright information in PMC

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