Pelvic vein thrombosis as a cause of acute pelvic pain.

Abstract:

BACKGROUND:Pelvic vein thrombosis may occur in nonpuerperal patients with hypercoagulable conditions and have significant sequelae. The purpose of this report is to describe a nonpuerperal woman with factor V Leiden mutation who developed acute pelvic pain secondary to pelvic varix thrombosis. CASE:A multiparous woman, status post-bilateral tubal interruption, presented with acute onset of severe left-sided pelvic pain 5-6 weeks from the onset of her last menstrual period. A pelvic computed tomography scan showed left pelvic varix thrombosis. Hematologic studies were consistent with heterozygous factor V Leiden mutation. The patient was treated with heparin and warfarin, and had complete resolution of her pain. CONCLUSION:Pelvic vein thrombosis may cause acute pelvic pain in nonpuerperal women, especially those with primary hypercoagulopathies. This should be included in the differential diagnosis of acute pelvic pain in reproductive-age women.

journal_name

Obstet Gynecol

authors

Visaria SD,Davis JD

doi

10.1016/s0029-7844(01)01589-7

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

897-9

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

S0029784401015897

journal_volume

99

pub_type

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