{"pk":810,"title":"Portal Venous Thrombosis Associated with Use of  Etonogestrel/ethinyl Estradiol Vaginal Ring","subtitle":null,"abstract":"Introduction: Portal venous thrombosis is a life-threatening cause of abdominal pain. In younger patients, heritable thrombophilias, pregnancy, tobacco use, and oral contraceptives are associated.\nCase Report: A 26-year-old woman prescribed contraceptive vaginal ring presented with abdominal pain and was diagnosed with an extensive portal venous thrombosis. Management included heparin and later an oral anticoagulant with good short-term outcome.\nDiscussion: Women using hormonal contraception are approximately four times more likely to develop thromboembolism. Risk of thromboembolism is similar between users of intravaginal and oral contraceptives.\nConclusion: Portal venous thrombosis must be considered in women presenting with abdominal pain who are prescribed hormonal contraceptives, including intravaginal forms.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"portal venous thrombosis"},{"word":"etonogestrel/ ethinyl vaginal ring"},{"word":"contraception"},{"word":"complications"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3qk5d0hp","frozenauthors":[{"first_name":"Katelynn","middle_name":"E.","last_name":"Bailey","name_suffix":"","institution":"Charleston Area Medical Center, Department of Emergency Medicine, Charleston, West Virginia","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Tranovich","name_suffix":"","institution":"Allegheny Health Network, Department of Emergency Medicine, Canonsburg, Pennsylvania","department":"None"}],"date_submitted":"2020-04-14T22:15:47Z","date_accepted":"2020-04-14T22:15:47Z","date_published":"2020-04-14T22:16:45Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/810/galley/563/download/"}]}