Postpartum ovarian vein thrombosis with left renal venous infarction after vaginal delivery

Wingman Cheung, Sanne Stegwee*, Dennis Van Hamont, Jantien Visser

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A primipara in her late 20s presented with abdominal pain and pain in the left flank 14 days after a ventouse delivery. She was treated with antibiotics, antiemetics and analgesics with the initial differential diagnosis of cystitis, pyelonephritis or nephrolithiasis. Despite the treatment, the patient experienced increased colic pain and nausea. An ultrasound showed an enlarged left kidney, suggesting pyelonephritis, and thereby, the antibiotic treatment was adjusted accordingly. Despite additional pain medication, pain relief could not be achieved. The diagnosis of ovarian venous thrombosis was considered, and an abdominal CT scan confirmed the diagnosis. The patient was treated with anticoagulant therapy. Hypercoagulability work-up revealed a heterozygous mutation of the Factor V Leiden. Our patient awaits a haematologic follow-up.

Original languageEnglish
Article numbere258877
JournalBMJ Case Reports
Volume17
Issue number3
DOIs
Publication statusPublished - 5 Mar 2024

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© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.

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