Venous Thromboembolism and Ovarian Torsion-detorsion in Pregnancy: a Case Report and Systematic Review of the Literature [post]

Peng Zhao, Ying Zhao, Quan Zhang, Zhu Zhou, Jianhong Zhou, Fei Ruan
2020 unpublished
The safety of adnexal detorsion in pregnant women is debatable as the hypercoagulable state during pregnancy intensifies the risk of thromboembolism. The diagnosis and treatment is challenging because its rarity and complexity due to the foetal health. Here we presented a rare case of venous thromboembolism (VTE) after ovarian detorsion during early pregnancy and conducted a review of the literature. VTE after ovarian torsion-detorsion in pregnancy is an infrequent event and is more likely to
more » ... is more likely to occur in the first and second trimester. The diagnosis depends mainly on the clinical manifestation, D-dimer level and imaging tests such as compression ultrasonography and computed tomography pulmonary angiogram. Low-molecular-weight heparin remains the drug of choice for both prophylactic measurement and therapeutic strategy. With prompt diagnosis and immediate treatment, VTE after ovarian torsion-detorsion is usually uneventful.
doi:10.21203/rs.3.rs-114658/v1 fatcat:6jtgkpwu2fdoxfgpzmv6ov7sji