title: Idiopathic ovarian vein thrombosis in a nonperipartum patient.
abstract: BACKGROUND
  Ovarian vein thrombosis is a rare diagnosis typically seen in the early peripartum period but also in other thrombophilic states such as postsurgery, pelvic inflammatory disease, malignancy, or sepsis. We describe a case of idiopathic ovarian vein thrombosis in a healthy woman far outside the peripartum window.
  
  
  METHODS
  The patient is a 29-year-old woman, gravida 3 para 2102, with no significant surgical or medical history referred for 8 months of severe left lower quadrant pain. An ultrasonogram revealed a nonocclusive left ovarian vein thrombosis. Hypercoagulable workup and all other laboratory tests were normal. The thrombus resolved within 2 months of starting oral anticoagulation therapy.
  
  
  CONCLUSIONS
  This case demonstrates the importance of including idiopathic ovarian vein thrombosis in the differential diagnosis of nonperipartum females with pelvic pain.
authors.affiliation: Vanderbilt University Medical School and the Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Doherty
authors.forename: Melinda
authors.initials: M
authors.lastname: New
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D014680:Veins; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin