V.F.Snegirev Archives of Obstetrics and GynecologyV.F.Snegirev Archives of Obstetrics and Gynecology2313-87262687-1386Eco-Vector35286Research ArticleRare thrombotic complications in obstetrical practiceIshchenkoA. I-AleksandrovL. Saleksandrov.leonid@lenta.ruNikonovA. P-KharnasS. S-SokolinaI. A-KaptilnyiV. A-BelovaA. V-I.M. Setchenov First Moscow Medical University1512201412505421072020Copyright © 2014, Eco-Vector2014Two cases with ovarian vein thrombosis and thrombophlebitis during the postpartum period in patients after spontaneous and surgical deliveries are presented. The clinical picture, differential diagnosis, and therapeutic strategy are described in detail. This pathological process was a rather rare serious complication of the postpartum period, difficult to diagnose, fraught with unfavorable outcomes.ovarian veinpostpartum periodthrombosisthrombophlebitispregnancy complicationяичниковая венапослеродовый периодтромбозтромбофлебитосложненная беременность[AbuRahma A.F., Stone P.A. Venous thrombosis treatment. In: Rakel R.E., Bope E.T., eds. Conn’s Current Therapy 2005. Philadelphia: WB Saunders; 2005: 424-8.][Callen P.W. Ultrasonography in Obstetrics and Gynecology. 4th ed. Philadelphia, Pa: WB Saunders Co; 2000: 873-4.][Dunnihoo D.R., Gallaspy J.W., Wise R.B., Otterson W.N. Postpartum ovarian vein thrombophlebitis: a review. Obstet. Gynecol. Surv. 1991; 46: 415-27.][Giraud J.R., Poulain P., Renaud-Giono A., Darnault J.P., Proudhon J.F., Grall J.Y. et al. Diagnosis of post-partum ovarian vein thrombophlebitis by color Doppler ultrasonography: about 10 cases. Acta Obstet. Gynecol. Scand. 1997; 76 (8):773-8.][Gonzalez-Bosquet E. Ovarian vein thrombosis. Risk factors, diagnosis and treatment. Medicina (B. Aires). 2009; 69 (3): 347-9.][Johnson A., Wietfeldt E.D., Dhevan V., Hassan I. Right lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten. Arch. Gynecol. Obstet. 2010. 281 (2): 261-3.][Kominiarek M.A., Hibbard J.U. Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv. 2006; 61 (5): 337-42.][Kubik-Huch R.A., Hebisch G., Huch R., Hilfiker P., Debatin J.F., Krestin G.P. Role of duplex color Doppler ultrasound, computed tomography, and MR angiography in the diagnosis of septic puerperal ovarian vein thrombosis. Abdom. Imag. 1999; 24 (1): 85-91.][Leizorovicz A., Cohen A.T., Turpie A.G., Olsson C.G., Vaitkus P.T., Goldhaber S.Z. Medical Thromboprophylaxis Study Group. Randomized, placebo-controlled trial of dalteparin for the prevention of venous thromboembolism in acutely ill medical patients. Circulation. 2004; 110: 874-9.][Marcovici I., Goldberg E. Ovarian vein thrombosis associated with Crohn’s disease: a case report. Am. J. Obstet. Gynecol. 2000;182 (3): 743-4.][Takach T.J., Cervera R.D., Gregoric I.D. Ovarian vein and caval thrombosis. Tex. Heart Inst. J. 2005; 32 (4): 579-82.][Prieto-Nieto M.I., Perez-Robledo J.P., Rodriguez-Montes J.A., Garci-Sancho-Martin L. Acute appendicitis-like symptoms as initial presentation of ovarian vein thrombosis. Ann. Vasc. Surg. 2004; 18: 481-3.][Quane L.K., Kidney D.D., Cohen A.J. Unusual causes of ovarian vein thrombosis as revealed by CT and sonography. Am. J. Roentgenol. 1998; 171 (2): 487-90.][Salomon O., Apter S., Shaham D., Hiller N., Bar-Ziv J., Itzchak Y. et al. Risk factors associated with postpartum ovarian vein thrombosis. Thromb. Haemost. 1999; 82 (3): 1015-9.][Schwarz R.E., Johnson R.R. Septic ovarian vein thrombophlebitis: a surgical disease that should be treated without operation. Eur. J. Surg. 1996; 162:587-8.][Semba C.P., Dake M.D. Catheter-directed thrombolysis for iliofemoral venous thrombosis. Semin. Vasc. Surg. 1996; 9: 26-33.][Zuckerman J., Levine D., McNicholas M.M., Konopka S., Goldstein A., Edelman R.R. et al. Imaging of pelvic postpartum complications. AJR Am. J. Roentgenol. 1997; 168 (3): 663-8.]