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Case Reports
. 2021 Apr 9;14(4):e240940.
doi: 10.1136/bcr-2020-240940.

Ovarian vein thrombosis: a potential clinical consequence of ruptured ectopic pregnancy

David Elliot Teytelbaum  1 , Josh Dean Meade  2 , Jennifer Swanson  2
Affiliations
Case Reports

Ovarian vein thrombosis: a potential clinical consequence of ruptured ectopic pregnancy

David Elliot Teytelbaum et al. BMJ Case Rep. .

Abstract

A healthy 32-year-old G3P3 woman with an unknown last menstrual period presented to the emergency department with intense abdominal pain and pain in the right chest that radiated down the right arm. Further workup showed that she had a ruptured ectopic pregnancy with significant haemoperitoneum. After successful laparoscopic evacuation of the ectopic pregnancy and haemoperitoneum, the patient subsequently developed a right ovarian vein thrombosis 4 weeks after the procedure. She was treated with anticoagulation, and further haematological studies did not show any significant findings. Postpartum ovarian vein thrombosis is extremely rare and can be life- threatening if not accurately diagnosed and treated with anticoagulation or surgical management in a timely manner.

Keywords: obstetrics and gynaecology; pregnancy; venous thromboembolism.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Right ovarian vein varices with sluggish flow and areas of non-occluding thrombus.
See this image and copyright information in PMC

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