title: Multiple visceral venous thromboses associated with oral contraceptive use.
abstract: Peripheral venous thromboembolism (VTE) is a known complication of oral contraceptive drugs (OCs), yet its association with visceral VTE is rarely reported. We describe a 21-year-old female patient who presented with sudden left loin pain. Plain computed tomography (CT) urography did not show kidney lesion but was suspicious of left renal vein thrombosis. Contrast study confirmed the diagnosis and also disclosed thrombosis of the splenic and left ovarian veins. The patient did not have a family history or laboratory evidence of hypercoagulable disorder. An OC was the only medication she had received in the previous three months. The OC was discontinued, and the patient was anticoagulated with heparin and discharged home on warfarin for a total period of six months. Subsequent CT study with contrast, one month later, showed complete resolution of the thrombosis without any visceral abnormality.
authors.affiliation: Department of Medicine, Faculty of Medicine, Kuwait University, Safat, Kuwait.
authors.forename: Kamel
authors.initials: K
authors.lastname: El-Reshaid
authors.affiliation: Department of Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Shaikha
authors.initials: S
authors.lastname: Al-Bader
authors.affiliation: Department of Radiology, Hadi Hospital, Hawally, Kuwait.
authors.forename: Hatem
authors.initials: H
authors.lastname: Sallam
mesh_terms: D003276:Contraceptives, Oral; D005260:Female; D006493:Heparin; D006801:Humans; D013923:Thromboembolism; D013924:Thrombophlebitis; D014682:Vena Cava, Inferior; D055815:Young Adult
chemical_list: D003276:Contraceptives, Oral; D006493:Heparin