title: Ovarian vein thrombosis following total laparoscopic hysterectomy.
abstract: Ovarian vein thrombosis usually occurs in pregnant patients, especially during the postpartum period. However, it is a rare complication following laparoscopic surgery in gynecology. The risk of a thromboembolic event is not well defined, and evidence-based guidelines regarding deep vein thrombosis prophylaxis in gynecological laparoscopic surgery are still lacking. Herein we report a rare case of ovarian vein thrombosis following total laparoscopic hysterectomy in a 35-year-old woman who developed a fever of unknown origin on postoperative day 3. A complete fever work-up was done. Her urine, vaginal stump and blood culture were all negative, and her white blood cell count was normal. CT revealed left ovarian vein thrombosis. The patient responded well to anticoagulation in conjunction with antibiotic therapy.
authors.affiliation: Department of Obstetrics and Gynecology, Osaka Rosai Hospital, Sakai, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Kato
authors.forename: Ayako
authors.initials: A
authors.lastname: Hosoi
authors.forename: Masanori
authors.initials: M
authors.lastname: Isobe
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Koyama
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Shiki
mesh_terms: D000328:Adult; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D010053:Ovary / Q000098:blood supply*; D011183:Postoperative Complications; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology*