A 29-year-old woman, gravida 2 para 2, comes to the emergency department with fever, crampy abdominal pain, and right flank pain 8 days after an uncomplicated vaginal delivery. Temperature is 38.3 C (101 F) and blood pressure is 110/60 mm Hg. Physical examination shows tenderness in the right lower quadrant and flank. The patient is hospitalized and started on intravenous antibiotics for presumed postpartum endometritis, but her fever persists. Urine and blood cultures show no bacterial growth. CT scan of the abdomen and pelvis reveals right ovarian vein thrombosis. If this patient remains untreated, she is at risk for extension of the thrombus into which of the following vessels? Inferior vena cava Right common iliac vein Right internal iliac vein Right renal vein Right uterine vein
A 29-year-old woman, gravida 2 para 2, comes to the emergency department with fever, crampy abdominal pain, and right flank pain 8 days after an uncomplicated vaginal delivery. Temperature is 38.3 C (101 F) and blood pressure is 110/60 mm Hg. Physical examination shows tenderness in the right lower quadrant and flank. The patient is hospitalized and started on intravenous antibiotics for presumed postpartum endometritis, but her fever persists. Urine and blood cultures show no bacterial growth. CT scan of the abdomen and pelvis reveals right ovarian vein thrombosis. If this patient remains untreated, she is at risk for extension of the thrombus into which of the following vessels?
- Inferior vena cava
- Right common iliac vein
- Right internal iliac vein
- Right renal vein
- Right uterine vein
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