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Media type:
E-Article
Title:
Ovarian vein thrombosis in a polytrauma patient
Contributor:
Toman, Emma;
Beaven, Alastair;
Balogun, Moji;
Porter, Keith
Published:
BMJ, 2015
Published in:
BMJ Case Reports (2015), Seite bcr2015213071
Language:
English
DOI:
10.1136/bcr-2015-213071
ISSN:
1757-790X
Origination:
Footnote:
Description:
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.