[Thrombophlebitis of the right ovarian vein with thrombosis of the inferior vena cava].
A 39-years-old woman was admitted with pelvic pain and fever occurring one month after a caesarean. An echography-doppler and an abdominal tomodensitometry were performed. Thrombophlebitis of the right ovarian vein was diagnosed with extension of a floating thrombus into the inferior vena cava. We decided to perform a surgical thrombectomy due to a pulmonary embolism which occurred while the patient was under heparin and antibiotic treatment. A temporary percutaneous caval filter was successfully used in the peri-operative period, preventing a second embolism. This observation focuses on a rare pathology occurring in young women and emphasises the safe use and removal of a temporary percutaneous caval filter in the peri-operative period.
Meurette
G
G
Service de chirurgie vasculaire, hôpital G.-R.-Laennec, CHU Nantes, 44035 cedex 01, Nantes, France.
Marret
O
O
Léauté
F
F
Costargent
A
A
Patra
P
P
Chaillou
P
P
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000150:complications*; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology*; D013927:Thrombosis / Q000150:complications / Q000209:etiology*; D014463:Ultrasonography; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000473:pathology*