急性腹痛作为妊娠期孤立性髂静脉血栓形成的首发症状。
Acute abdominal pain as the presenting symptom of isolated iliac vein thrombosis in pregnancy.
作者信息
Merhi Zaher, Awonuga Awoniyi
机构信息
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USA.
出版信息
Obstet Gynecol. 2006 Feb;107(2 Pt 2):468-70. doi: 10.1097/01.AOG.0000167390.40616.ca.
BACKGROUND
The incidence of iliac vein thrombosis in pregnancy is quite low; however when it does occur, delay in diagnosis can have significant sequelae. We report a pregnant woman who presented with severe acute abdominal pain secondary to isolated iliac vein thrombosis.
CASE
A primigravida presented at 33 weeks of gestation with acute onset of severe left-sided lower abdominal pain. A magnetic resonance imaging study revealed isolated left iliac vein thrombosis. After treatment with heparin her pain completely resolved.
CONCLUSION
Iliac vein thrombosis may cause acute abdominal pain in pregnant women and should be considered in the differential diagnosis when other common causes of pain have been excluded.
背景
妊娠期髂静脉血栓形成的发生率相当低；然而，一旦发生，诊断延误可能会产生严重的后遗症。我们报告一名孕妇，因孤立性髂静脉血栓形成继发严重急性腹痛。
病例
一名初产妇在妊娠33周时出现急性发作的严重左侧下腹痛。磁共振成像检查显示孤立性左侧髂静脉血栓形成。经肝素治疗后，她的疼痛完全缓解。
结论
髂静脉血栓形成可能导致孕妇急性腹痛，在排除其他常见疼痛原因后进行鉴别诊断时应考虑到这一情况。
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