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Obstetrics & Gynecology 2000;96:828-830
© 2000 by The American College of Obstetricians and Gynecologists
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GYNECOLOGY

OVARIAN VEIN THROMBOSIS AFTER ELECTIVE ABORTION

Sreedevi Sreenarasimhaiah, MD and Rebecca McAlister, MD

From the Department of Obstetrics and Gynecology, Washington University/Barnes-Jewish Hospital, St. Louis, Missouri.

Address reprint requests to: Sreedevi Sreenarasimhaiah, MD Washington University Barnes-Jewish Hospital Department of Obstetrics and Gynecology Box 8064, #1 Barnes Hospital Plaza St. Louis, MO 63110 E-mail: sreenarasimhaiahs{at}msnotes.wustl.edu.

Background: Ovarian vein thrombosis has been described postpartum and after pelvic surgery, but is uncommon in first- and second-trimester abortions.

Case: A 24-year-old woman, para 1011, presented 9 days after an uneventful elective abortion at 13 weeks’ gestation with right lower quadrant abdominal pain, rebound tenderness and a normal white blood cell (WBC) count. Computed tomography (CT) showed ovarian vein thrombosis that improved with anticoagulation and antibiotics.

Conclusion: Ovarian vein thrombosis might occur after elective first-trimester abortion and have an atypical presentation.






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