Adesiyun Adebiyi Gbadebo, Samaila Modupeola O A, Ojabo Austin
Department of Obstetrics & Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Case Rep Obstet Gynecol. 2014;2014:898342. doi: 10.1155/2014/898342. Epub 2014 Jan 12.
Ovarian vein thrombosis is a rare clinical entity that may present in the puerperium. We report the clinical outcomes of two cases of postpartum ovarian vein thrombosis, incidentally diagnosed at laparotomy in 16-year-old and 23-year-old females. They had preoperative diagnosis of torsion tuboovarian mass and twisted pedunculated uterine fibroid, respectively. Both patients had transection and ligation of right thrombosed ovarian vein. Postoperative management included a week course of anticoagulant, antibiotics and analgesia. Postpartum ovarian vein thrombosis is a diagnosis of exclusion in the puerperium and a high index of suspicion will reduce associated morbidity and mortality.
卵巢静脉血栓形成是一种罕见的临床病症，可发生于产褥期。我们报告两例产后卵巢静脉血栓形成的临床结果，这两例分别在一名16岁和一名23岁女性的剖腹手术中被偶然诊断出来。她们术前分别被诊断为输卵管卵巢肿物扭转和有蒂子宫平滑肌瘤扭转。两名患者均对右侧血栓形成的卵巢静脉进行了切断和结扎。术后处理包括为期一周的抗凝、抗生素和镇痛治疗。产后卵巢静脉血栓形成是产褥期一种排除性诊断，高度怀疑有助于降低相关的发病率和死亡率。
