Floating caval thrombus arising from the ovarian vein

Ann Vasc Surg. 2009 Sep-Oct;23(5):688.e7-9. doi: 10.1016/j.avsg.2009.03.012.

Abstract

We describe the case of a 37-year-old pregnant woman, who was admitted to hospital for suspicion of chorioamnionitis. An emergency C-section was performed. Four days later, the patient suffered from abdominal pain and fever. Computed tomographic scanning demonstrated only a thrombosis of the right ovarian vein. Anticoagulation and antibiotic therapy was started immediately. Color duplex imaging performed 3 days later revealed a free-floating caval thrombus reaching the confluence of hepatic veins while the patient was fully anticoagulated. Emergency thrombectomy was performed by laparotomy, and the thrombus was removed by caval incision during suprahepatic clamping of the inferior vena cava. The patient recovered rapidly from surgery and was discharged on the tenth postoperative day.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Anticoagulants / therapeutic use
  • Cesarean Section / adverse effects*
  • Chorioamnionitis / surgery*
  • Combined Modality Therapy
  • Emergency Treatment
  • Female
  • Fever / etiology
  • Humans
  • Ovary / blood supply*
  • Phlebography / methods
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnosis
  • Pregnancy Complications, Cardiovascular / etiology*
  • Pregnancy Complications, Cardiovascular / therapy
  • Pulmonary Embolism / etiology
  • Thrombectomy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Vena Cava, Inferior* / diagnostic imaging
  • Vena Cava, Inferior* / surgery
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / etiology*
  • Venous Thrombosis / surgery
  • Venous Thrombosis / therapy

Substances

  • Anti-Bacterial Agents
  • Anticoagulants