产后卵巢静脉血栓形成导致严重肾积水。
Postpartum ovarian vein thrombosis causing severe hydronephrosis.
机构信息
From the University of South Florida, Tampa, Florida.
出版信息
Obstet Gynecol. 2010 Feb;115(2 Pt 2):452-454. doi: 10.1097/AOG.0b013e3181cbbeb3.
BACKGROUND
Ovarian vein thrombosis is a rare postpartum complication. The diagnosis is often delayed, given that the differential diagnosis is broad. This case illustrates an unusual presentation of postpartum ovarian vein thrombosis.
CASE
A young woman presented on postpartum day 3 after an uncomplicated vaginal delivery with severe right lower quadrant abdominal pain and right thigh numbness. A computed tomographic scan demonstrated severe right hydronephrosis and right pyelocalyceal rupture and was suggestive of a right ovarian vein thrombosis. She was admitted and treated with a right nephrostomy tube and anticoagulation. Four weeks after nephrostomy tube placement, she underwent right antegrade nephrostography, and free flow of contrast from her distal ureter to her bladder was seen without evidence of obstruction.
CONCLUSION
Ovarian vein thrombosis should be considered in the differential diagnosis of any woman in the puerperium presenting with pelvic or abdominal pain.
背景
卵巢静脉血栓形成是一种罕见的产后并发症。由于鉴别诊断广泛，因此通常会延迟诊断。本病例说明了产后卵巢静脉血栓形成的一种不常见表现。
病例
一名年轻女性在阴道分娩后第 3 天出现严重的右下腹部疼痛和右大腿麻木，无并发症。计算机断层扫描显示严重的右肾积水和右肾盂肾盏破裂，提示右侧卵巢静脉血栓形成。她被收治并接受右肾造口术和抗凝治疗。肾造口管放置 4 周后，进行了右逆行性肾盂造影术，可见造影剂从其远端输尿管自由流入膀胱，无梗阻证据。
结论
对于任何在产褥期出现盆腔或腹部疼痛的女性，都应考虑卵巢静脉血栓形成作为鉴别诊断。
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