Suleyman Turedi, Gultekin Hos, Abdulkadir Gunduz, Tevfik Patan, Abdulkerim Unsal Mesut, Ali Ahmetoglu, Ismail Koramaz
Department of Emergency Medicine, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
J Obstet Gynaecol Res. 2008 Aug;34(4 Pt 2):680-2. doi: 10.1111/j.1447-0756.2008.00906.x.
Ovari an vein thrombosis (OVT) is an uncommon, life-threatening complication of pregnancy. OVT clinical presentation is similar to that of acute appendicitis, and the latter is therefore the suspected diagnosis in most cases. We describe a case of a 36-year-old woman experiencing deep vein thrombosis and pulmonary embolism during the course of pregnancy and presenting to the emergency department with sudden pain in the right lower quadrant and severe abdominal pain. This case illustrates the difficulty in diagnosing OVT, which should be considered in any pregnant woman with unexplained lower abdominal pain suggestive of acute appendicitis.
卵巢静脉血栓形成(OVT)是一种罕见的、危及生命的妊娠并发症。OVT的临床表现与急性阑尾炎相似,因此在大多数病例中,后者是疑似诊断。我们描述了一例36岁女性,在妊娠期间发生深静脉血栓形成和肺栓塞,并因右下象限突发疼痛和严重腹痛就诊于急诊科。该病例说明了诊断OVT的困难,对于任何有提示急性阑尾炎的不明原因下腹痛的孕妇都应考虑到该病。