Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review

• Published in: Taiwanese journal of obstetrics & gynecology Vol. 62; no. 2; pp. 369 - 371
• Main Authors: Chen, Yi-Ting, Lin, Yi-Lun, Tsai, Yueh-Ting, Wen, Jen-Yu, Hsiao, Tsun-Wen, Tsai, Yung-Chieh
• Format: Journal Article
• Language: English
• Published: China (Republic : 1949- ) Elsevier B.V 01.03.2023; Elsevier
• Subjects: Antibiotics; Anticoagulant; Female; Humans; Hysterectomy; Hysterectomy, Vaginal - adverse effects; Laparoscopy - adverse effects; Middle Aged; Ovarian vein thrombosis; Ovary - blood supply; Salpingectomy; Venous thromboembolism; Venous Thrombosis - diagnosis; Venous Thrombosis - drug therapy; Venous Thrombosis - etiology; Ovarian vein thrombosis; Anticoagulant; Hysterectomy; Antibiotics; Venous thromboembolism
• ISSN: 1028-4559; 1875-6263
• DOI: 10.1016/j.tjog.2022.08.018

We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience. A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments were given but with unsatisfactory effect. As the patient had completed family planning, a hysterectomy was scheduled. However, on the sixth postoperative day, the patient complained of low abdominal pain with fever on and off. After a series of examinations, right OVT was diagnosed. The patient was treated with antibiotics only. Under close surveillance, the OVT resolved spontaneously, and the patient was discharged. Diagnosis of OVT requires highly suspicion owing to its rarity and non-specific presentation. OVT is a potentially serious venous thromboembolism that sometimes can be life threatening. Anticoagulant treatment is still controversial. Conventional Tomography with contrast medium could detect early OVT with high sensitivity and specificity.