Dasari Papa, Balusamy Sathyalakshmy
Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.
BMJ Case Rep. 2013 May 27;2013:bcr2012008325. doi: 10.1136/bcr-2012-008325.
A 22-year-old primigravida was diagnosed to have portal vein thrombosis during 20th week of gestation by ultrasound examination which was carried out to rule out congenital fetal anomalies. She had splenomegaly and thrombocytopenia. Investigations did not reveal any prothrombotic disorder. She was managed with anticoagulants which were started at 31 weeks of pregnancy. Labour was induced at 40 weeks of gestation and she delivered a healthy neonate without any complications. Anticoagulants were restarted after delivery and continued through the postpartum period and up to 6 months thereafter.
一名22岁的初产妇在妊娠20周时接受超声检查以排除先天性胎儿异常，结果被诊断为门静脉血栓形成。她有脾肿大和血小板减少症。检查未发现任何血栓前状态疾病。她在妊娠31周时开始使用抗凝剂进行治疗。妊娠40周时引产，她顺利产下一名健康新生儿，无任何并发症。产后重新开始使用抗凝剂，并持续至产后期及之后6个月。
