{'fraction_non_alphanumeric': 0.023917995444191344, 'fraction_numerical': 0.018223234624145785, 'mean_word_length': 4.895973154362416, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Successful outcome of pregnancy following ruptured membranes at 14 weeks gestation

alteration in flow in the veins causes a nidus of thrombus to form in the region of the valves (Hippach et al. 2000). Ovarian Vein Thrombosis may cause compression of the ipsilateral ureter as seen in this woman. Pulmonary embolism may complicate postpartum ovarian vein thrombosis in up to 13% of cases, and has a mortality of approximately 4% (Dunnihoo et al. 1991). The diagnosis of postpartum ovarian vein thrombosis is made commonly with CT, MRI scans or Doppler ultrasonography with sensitivities of 100%, 92% and 52%, respectively. CT scan is considered to be the investigation of choice (Savader et al. 1988). Clinically, ovarian vein thrombosis has been described as having a triad of fever, lower abdominal pain and a pelvic mass. It is usually associated with evidence of systemic infection. Typically the fever persists until the addition of anticoagulation to the therapeutic regimen. If pulmonary embolism has occurred there may be associated features. Treatment consists of a course of broad-spectrum antibiotics and anticoagulation for a variable period depending on the extent of thrombosis. If there is an extension of thrombus into the inferior vena cava a temporary Greenfield filter may be inserted to prevent pulmonary embolism. Surgery may sometimes be indicated in the form of thrombectomy if the risk of pulmonary embolism is very high and conservative management has failed (Dunnihoo et al. 1991). The incidence of recurrent post-partum ovarian vein thrombosis in subsequent pregnancies is not known. It is however a cause of concern and may warrant anticoagulation therapy at the time of labour and for a period afterwards (Salomon et al. 1999).