A 37-year-old obese multiparous woman was admitted to the emergency department complaining of sudden left lower-sided abdominal pain. The pain is associated with vomiting and nausea. The patient has delivered a 3500-g healthy boy a week ago. Her temperature is 39 C, her blood pressure is 140/90 and her pulse is 120/min. Ultrasound was done to exclude retained products of conception. Computerized tomography with contrast has revealed left-sided ovarian thrombosis. Blood cultures and sensitivity showed group A Beta-hemolytic streptococci. If this patient is untreated, she has a risk of thrombus extension in which of the following veins?

Question

Quizplus · Accepted Answer

Eductional Objective: Ovarian vein thrombosis is a very rare complication of the deliveries. Right ovarian vein thrombosis is more common due to the compression of the uterus. Left side thrombosis is at risk for extension into the left renal vein, while the right side is at risk for extension into the inferior vena cava.

A 37-Year-Old Obese Multiparous Woman Was Admitted to the Emergency