Janky E, Cambon D, Leng J J, Cormier P, Baste J C
Service de Gynécologie-Obstétrique, Hôpital Pellegrin, Bordeaux.
Rev Fr Gynecol Obstet. 1990 Nov;85(11):615-7.
The authors report on one case of thrombophlebitis of the two ovarian veins complicated by thrombosis of the vena cava inferior after a septic abortion. The diagnosis suggested by the persistence of symptoms of a severe pelvic infection was confirmed using computerized axial tomography. Faced with a clot floating in the vena cava inferior, a Greenfield filter was placed subrenally and combined with antibiotic therapy and IV heparin therapy. Clinical symptoms resolved but the scanographic image of thrombosis of the vena cava persisted after 7 months of treatment. This is a rare disease which is currently easy to diagnose, thanks to computerized axial tomography and nuclear magnetic resonance.
作者报告了1例败血症性流产后双侧卵巢静脉血栓性静脉炎并发下腔静脉血栓形成的病例。严重盆腔感染症状持续存在提示了诊断,通过计算机断层扫描得以确诊。面对下腔静脉内漂浮的血栓,在肾下放置了格林菲尔德滤器,并联合抗生素治疗及静脉肝素治疗。临床症状得以缓解,但治疗7个月后下腔静脉血栓的扫描图像仍然存在。这是一种罕见疾病,得益于计算机断层扫描和核磁共振,目前易于诊断。