Aortic Thrombosis Due to a Giant Ovarian Cyst

Abstract 

We describe a patient who presented with a giant ovarian cyst causing a complete occlusion of the distal abdominal aorta. An 86-year-old patient presented with acute ischaemia of her lower limbs 3 days after a transurethral resection of a bladder tumour (TURT). She refused treatment for her giant ovarian cyst. The administration of Sintrommitis^® was ceased 3 days preoperatively; no bridging anticoagulation therapy was initiated. A computed tomography (CT) angiogram showed a thrombotic occlusion of the distal aorta. We believe this to have been caused by pressure from the giant ovarian cyst. The patient died 2 days later. This case illustrates that awareness is warranted for vascular complications in patients, with a giant intra-abdominal cyst or tumour, undergoing abdominal or pelvic surgery.

Keywords: Anticoagulation, Aortic thrombosis, Giant ovarian cyst