妊娠期单侧肾上腺梗死
Unilateral adrenal infarction in pregnancy.
作者信息
Green Paul-Ann D, Ngai Ivan M, Lee Tony T, Garry David J
机构信息
Department of OB-GYN and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.
出版信息
BMJ Case Rep. 2013 Aug 23;2013:bcr2013009997. doi: 10.1136/bcr-2013-009997.
Abstract
A 25-year-old pregnant woman at 28 weeks gestational age presented with increasing abdominal pain and was found to have a unilateral adrenal infarction on a CT scan of the abdomen. Her medical history was unremarkable. There was no evidence of adrenal insufficiency with normal cortisol and adenocorticotropic hormone levels for pregnancy. Evaluation of thrombophilia disorders established the patient to be heterozygous for methylenetetrahydrofolatereductase C677T gene mutation as the only finding. The patient was anticoagulated to prevent contralateral thrombosis. At 32 weeks she experienced spontaneous rupture of membranes. One week later she delivered vaginally and remained anticoagulated for the puerperium.
摘要
一名孕28周的25岁孕妇因腹痛加剧就诊，腹部CT扫描发现单侧肾上腺梗死。她的病史无异常。孕期皮质醇和促肾上腺皮质激素水平正常，无肾上腺功能不全的证据。对血栓形成倾向疾病的评估发现，患者仅为亚甲基四氢叶酸还原酶C677T基因突变杂合子。对该患者进行抗凝治疗以预防对侧血栓形成。孕32周时她胎膜自发破裂。一周后经阴道分娩，产褥期继续抗凝。
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