Doherty Kathleen, New Melinda
Vanderbilt University Medical School and the Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Obstet Gynecol. 2015 Jun;125(6):1468-1470. doi: 10.1097/AOG.0000000000000648.
Ovarian vein thrombosis is a rare diagnosis typically seen in the early peripartum period but also in other thrombophilic states such as postsurgery, pelvic inflammatory disease, malignancy, or sepsis. We describe a case of idiopathic ovarian vein thrombosis in a healthy woman far outside the peripartum window.
The patient is a 29-year-old woman, gravida 3 para 2102, with no significant surgical or medical history referred for 8 months of severe left lower quadrant pain. An ultrasonogram revealed a nonocclusive left ovarian vein thrombosis. Hypercoagulable workup and all other laboratory tests were normal. The thrombus resolved within 2 months of starting oral anticoagulation therapy.
This case demonstrates the importance of including idiopathic ovarian vein thrombosis in the differential diagnosis of nonperipartum females with pelvic pain.
卵巢静脉血栓形成是一种罕见的诊断，通常见于围产期早期，但也见于其他血栓形成倾向状态，如手术后、盆腔炎性疾病、恶性肿瘤或脓毒症。我们描述了一例健康女性在远离围产期的情况下发生特发性卵巢静脉血栓形成的病例。
患者为一名29岁女性，孕3产2102，无重大手术或病史，因严重左下腹疼痛8个月前来就诊。超声检查显示左侧卵巢静脉非闭塞性血栓形成。高凝检查及所有其他实验室检查均正常。在开始口服抗凝治疗2个月内血栓溶解。
该病例表明，在对非围产期盆腔疼痛女性进行鉴别诊断时，将特发性卵巢静脉血栓形成纳入考虑的重要性。
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