Right Flank Pain in a Postpartum Natural Vaginal Delivery Patient; Ovarian Vein Thrombosis or Spontaneous Ureter Rupture? A Case Report

A case report.

Abstract

Background: Ovarian vein thrombosis (OVT) is a rare clinical disturbance occurring after recent natural vaginal delivery (NVD) manifested by abdominal pain, fever, nausea and vomiting. It can be associated with other inflammatory diseases or malignant situations. In this case study, an 18-year-old female with an OVT disorder and a previous NVD has been reported.
Case presentation: An 18-year-old female was referred to our medical department presented by abdominal pain, fever, nausea and vomiting. She had a previous natural vaginal delivery (NVD) five days before admission to our medical department. According to computed tomography (CT) scan and ultrasound results, ovarian vein thrombosis (OVT) was diagnosed. Therefore, we decided to treat the patient with heparin, cefixime, clindamycin and warfarin and the patient has been stable without any further intensification of the mentioned condition after 4 months from diagnosis.
Conclusion: The detection of the OVT with CT scan and ultrasounds leads to an appropriate treatment at a proper time which can prevent the incidence of pulmonary embolism and such other lethal outcomes.