Prise en charge de la thrombose veineuse ovarienne du post-partum. L’expérience du CHU d’Amiens

Conclusion La thrombose ovarienne du post-partum est une complication rare qu’il faut savoir évoquer et rechercher en particulier devant un syndrome douloureux abdominal fébrile non septique du post-partum. Objectives Postpartum ovarian vein thrombophlebitis is an uncommon complication that may threaten mothers’ lives. The extension of thrombosis in the inferior vena cava causes a pulmonary embolisme risk and requires urgent care. The main objective of this study was, from a series of patients, to determine the clinical and paraclincal signs to suggest the diagnosis of postpartum ovarian vein thrombosis. Secondary objectives were to assess the location and extent of thrombosis and the therapeutic management of this disease at the University Hospital of Amiens. Methods A retrospective study was performed in the Obstetrics and Gynecology department of Amiens University Hospital between January 2011 and May 2015. Were included in this study all patients for whom the diagnosis of postpartum ovarian thrombophlebitis was confirmed by computed tomography. Results Thirteen patients had postpartum thrombosis of the ovarian vein. The incidence of this disease in our series was 0.13%. The average age of patients was 30years. The median onset of symptoms was located on the 4th day; in 92% of cases, they appeared within 10days after delivery. The clinical picture was not specific and the main symptoms were fever (46.1%) and abdominal pain (53.8%). Biologically inflammatory s...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research