title: Ovarian vein thrombosis in a polytrauma patient.
abstract: A young mother presented to a major trauma centre following a road traffic collision. Her admission CT traumagram demonstrated liver and renal lacerations, spinal and pelvic fractures with no abnormalities of the ovarian veins. Her inpatient course was uncomplicated other than a sustained, isolated raised C reactive protein. CT of the abdomen 1 week after injury demonstrated stable solid organ injuries and the additional, unexpected finding of a right ovarian vein thrombosis (OVT). A pragmatic approach was taken towards the management of the OVT given the haemorrhagic risk from her traumatic injuries. A multidisciplinary, consultant-led plan was made to slowly increase enoxaparin to a therapeutic dose under close surveillance and to then switch to warfarin following an outpatient consultation with a consultant haematologist. A MR venogram was performed after 3 months of anticoagulation, and this demonstrated complete resolution of the OVT and normal appearances of the ovary.
authors.affiliation: Department of Neurotrauma, Surgical Reconstruction and Microbiological Research Centre, Birmingham, West Midlands, UK Department of Major Trauma Service, Queen Elizabeth Hospital Birmingham, Birmingham, West Midlands, UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Toman
authors.affiliation: Department of Major Trauma Service, Queen Elizabeth Hospital Birmingham, Birmingham, West Midlands, UK Department of Major Trauma, Surgical Reconstruction and Microbiological Research Centre, Birmingham, West Midlands, UK.
authors.forename: Alastair
authors.initials: A
authors.lastname: Beaven
authors.affiliation: Department of Radiology, Birmingham Women's Hospital, Birmingham, West Midlands, UK.
authors.forename: Moji
authors.initials: M
authors.lastname: Balogun
authors.affiliation: Department of Major Trauma Service, University Hospitals Birmingham, Birmingham, West Midlands, UK.
authors.forename: Keith
authors.initials: K
authors.lastname: Porter
mesh_terms: D000063:Accidents, Traffic; D000925:Anticoagulants / Q000627:therapeutic use; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000188:drug therapy / Q000209:etiology; D010053:Ovary / Q000098:blood supply* / Q000293:injuries; D010348:Patient Care Team; D014680:Veins; D020246:Venous Thrombosis / Q000188:drug therapy* / Q000209:etiology; D014859:Warfarin / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin