Ovarian venous thrombosis in a patient with pre-eclampsia following cesarean section: A case report and review of the literature

Ovarian Vein Thrombosis (OVT) is relatively rare in clinical practice, its onset is often rapid and the progression of the disease is swift. Ovarian venous thrombosis typically occurs in the right ovary and is more prevalent following a cesarean section. The disease has no specific symptoms and is easily confused with other diseases. The following case involves a pre-eclampsia patient who developed ovarian venous thrombosis following a cesarean section. Case report and literature review. On the first day after cesarean section, the patient experienced unbearable abdominal distension and pain. Upon analyzing the patient's symptoms, signs and imaging studies, the diagnosis was ovarian vein thrombosis. Antibiotics, anticoagulants and other symptomatic treatments were administered promptly. One month after the operation the patient recovered well and the color Doppler ultrasound showed that the ovarian vein thrombosis had resolved. Ovarian venous thrombosis has no specific symptoms and is easily confused with other diseases. Once the disease progresses, it can lead to renal vein embolism, inferior vena cava embolism and even pulmonary embolism, causing serious complications and potentially death. Accurate recognition, diagnosis, and timely effective treatment are key to managing this disease. Only by doing so can we achieve favorable outcomes and avoid adverse consequences.