Ovarian Vein Thrombosis After an Oophorectomy: A Commonly Missed Finding Yet of Little Significance

Document Type

Article

Publication Date

2-2018

Publication Title

J Reprod Med

Abstract

OBJECTIVE: To estimate the frequency of ovarian vein thrombosis (OVT) after oophorectomy and to identify comorbidities.

STUDY DESIGN: A retrospective review of patients who underwent oophorectomy between January 2008 and December 2009. Overall, 195 patients were identified; 9 patients were excluded for being on anticoagulation preoperatively. Eighty-nine patients underwent postoperative abdominal computed tomography imaging within 18 months postoperatively. Patient characteristics, operative details, and perioperative morbidities were analyzed. A radiologist reviewed the scanned images and identified OVT. Statistical analyses were performed using univariate Fisher’s exact tests for categorical variables and Wilcoxon rank-sum tests for continuous variables. Statistical significance was set at p<0.05.

RESULTS: Twelve (13.4%) of the patients had OVT diagnosed. Three were diagnosed with a pulmonary embolus in the ovarian thrombosis group. On univariate analysis, OVT was associated with a longer hospital stay (p=0.013) and otherwise was not associated with an increased risk of other complications. Specifically, there was no temporal cause and effect association between OVT and pulmonary embolism.

CONCLUSION: OVT after oophorectomy was less frequent in this study than previously reported. There was no temporal association to suggest that OVT leads to pulmonary embolization or other complications.

Volume

63

Issue

1

First Page

21

Last Page

26

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