Meurette G, Marret O, Léauté F, Costargent A, Patra P, Chaillou P
Service de chirurgie vasculaire, hôpital G.-R.-Laennec, CHU Nantes, 44035 cedex 01, Nantes, France.
Ann Chir. 2003 Jun;128(5):329-32. doi: 10.1016/s0003-3944(03)00096-8.
A 39-years-old woman was admitted with pelvic pain and fever occurring one month after a caesarean. An echography-doppler and an abdominal tomodensitometry were performed. Thrombophlebitis of the right ovarian vein was diagnosed with extension of a floating thrombus into the inferior vena cava. We decided to perform a surgical thrombectomy due to a pulmonary embolism which occurred while the patient was under heparin and antibiotic treatment. A temporary percutaneous caval filter was successfully used in the peri-operative period, preventing a second embolism. This observation focuses on a rare pathology occurring in young women and emphasises the safe use and removal of a temporary percutaneous caval filter in the peri-operative period.
一名39岁女性在剖宫产术后1个月因盆腔疼痛和发热入院。进行了超声多普勒检查和腹部断层扫描。诊断为右卵巢静脉血栓性静脉炎，有一个漂浮血栓延伸至下腔静脉。由于患者在接受肝素和抗生素治疗时发生了肺栓塞，我们决定进行手术取栓。在围手术期成功使用了临时经皮腔静脉滤器，防止了再次栓塞。本病例着重介绍了一种发生在年轻女性中的罕见病症，并强调了围手术期临时经皮腔静脉滤器的安全使用和取出。
