Clinical Conundrum: Spontaneous Paravaginal Venous Plexus Thrombosis Presenting as Acute Lower Pelvic Pain

Fernando Heredia M; Linder Díaz C; Anna Kobylianskii; Juan Escalona M; Andres Escalona; Nucelio Lemos

doi:10.1016/j.jogc.2023.01.004

Clinical Conundrum: Spontaneous Paravaginal Venous Plexus Thrombosis Presenting as Acute Lower Pelvic Pain

Fernando Heredia M^*, Linder Díaz C, Anna Kobylianskii, Juan Escalona M, Andres Escalona, Nucelio Lemos

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Acute pelvic pain due to venous thrombosis can be encountered in the context of pelvic congestion syndrome. Some vascular anomalies such as nutcracker syndrome or May–Thurner syndrome may cause left ovarian vein or left iliofemoral vein thrombosis. Smaller parametrial or paravaginal vein thrombi have rarely been reported as aetiologies of acute pelvic pain. We present a case of spontaneous paravaginal venous plexus thrombosis presenting as acute lower pelvic pain in which thrombophilia was diagnosed. Small vein thrombosis or an unusual location of thrombus should prompt vascular studies and a thrombophilia work-up.

Original language	English
Pages (from-to)	257-260
Number of pages	4
Journal	Journal of Obstetrics and Gynaecology Canada
Volume	45
Issue number	4
DOIs	https://doi.org/10.1016/j.jogc.2023.01.004
State	Published - 2023

Bibliographical note

Publisher Copyright:
© 2023 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1016/j.jogc.2023.01.004

Cite this

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title = "Clinical Conundrum: Spontaneous Paravaginal Venous Plexus Thrombosis Presenting as Acute Lower Pelvic Pain",

abstract = "Acute pelvic pain due to venous thrombosis can be encountered in the context of pelvic congestion syndrome. Some vascular anomalies such as nutcracker syndrome or May–Thurner syndrome may cause left ovarian vein or left iliofemoral vein thrombosis. Smaller parametrial or paravaginal vein thrombi have rarely been reported as aetiologies of acute pelvic pain. We present a case of spontaneous paravaginal venous plexus thrombosis presenting as acute lower pelvic pain in which thrombophilia was diagnosed. Small vein thrombosis or an unusual location of thrombus should prompt vascular studies and a thrombophilia work-up.",

keywords = "gynecological examination, pelvic pain, thrombophilia, ultrasonography, venous thrombosis",

author = "{Heredia M}, Fernando and {D{\'i}az C}, Linder and Anna Kobylianskii and {Escalona M}, Juan and Andres Escalona and Nucelio Lemos",

note = "Publisher Copyright: {\textcopyright} 2023 The Society of Obstetricians and Gynaecologists of Canada/La Soci{\'e}t{\'e} des obst{\'e}triciens et gyn{\'e}cologues du Canada",

year = "2023",

month = apr,

doi = "10.1016/j.jogc.2023.01.004",

language = "English",

volume = "45",

pages = "257--260",

journal = "Journal of Obstetrics and Gynaecology Canada",

issn = "1701-2163",

publisher = "Elsevier Inc.",

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TY - JOUR

T1 - Clinical Conundrum

T2 - Spontaneous Paravaginal Venous Plexus Thrombosis Presenting as Acute Lower Pelvic Pain

AU - Heredia M, Fernando

AU - Díaz C, Linder

AU - Kobylianskii, Anna

AU - Escalona M, Juan

AU - Escalona, Andres

AU - Lemos, Nucelio

PY - 2023/4

Y1 - 2023/4

N2 - Acute pelvic pain due to venous thrombosis can be encountered in the context of pelvic congestion syndrome. Some vascular anomalies such as nutcracker syndrome or May–Thurner syndrome may cause left ovarian vein or left iliofemoral vein thrombosis. Smaller parametrial or paravaginal vein thrombi have rarely been reported as aetiologies of acute pelvic pain. We present a case of spontaneous paravaginal venous plexus thrombosis presenting as acute lower pelvic pain in which thrombophilia was diagnosed. Small vein thrombosis or an unusual location of thrombus should prompt vascular studies and a thrombophilia work-up.

AB - Acute pelvic pain due to venous thrombosis can be encountered in the context of pelvic congestion syndrome. Some vascular anomalies such as nutcracker syndrome or May–Thurner syndrome may cause left ovarian vein or left iliofemoral vein thrombosis. Smaller parametrial or paravaginal vein thrombi have rarely been reported as aetiologies of acute pelvic pain. We present a case of spontaneous paravaginal venous plexus thrombosis presenting as acute lower pelvic pain in which thrombophilia was diagnosed. Small vein thrombosis or an unusual location of thrombus should prompt vascular studies and a thrombophilia work-up.

KW - gynecological examination

KW - pelvic pain

KW - thrombophilia

KW - ultrasonography

KW - venous thrombosis

UR - http://www.scopus.com/inward/record.url?scp=85151266944&partnerID=8YFLogxK

U2 - 10.1016/j.jogc.2023.01.004

DO - 10.1016/j.jogc.2023.01.004

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AN - SCOPUS:85151266944

SN - 1701-2163

VL - 45

SP - 257

EP - 260

JO - Journal of Obstetrics and Gynaecology Canada

JF - Journal of Obstetrics and Gynaecology Canada

IS - 4

ER -

Clinical Conundrum: Spontaneous Paravaginal Venous Plexus Thrombosis Presenting as Acute Lower Pelvic Pain

Abstract

Bibliographical note

ASJC Scopus subject areas

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