Khishfe Basem F, Sankovsky Anna, Nasr Isam
Department of Emergency Medicine, Mt Sinai Hospital, Chicago, IL.
Rosalind Franklin University of Medicine and Science, North Chicago, IL.
Am J Emerg Med. 2016 May;34(5):935.e1-2. doi: 10.1016/j.ajem.2015.09.022. Epub 2015 Sep 21.
Ovarian vein thrombosis (OVT) is a rare but potentially serious condition that affects mostly postpartum women. It has also been associated with other conditions, such as pelvic inflammatory disease, malignancy, sepsis, inflammatory bowel disease, and recent pelvic or abdominal surgery. It is critical to recognize and treat this condition as early as possible to avoid the potential complications of the thrombosis and adverse sequelae such as infection and sepsis. We report a case of idiopathic OVT in a previously healthy premenopausal woman presenting with sudden onset groin pain. Nephrolithiasis was high on the differential, so a computed tomography abdomen/pelvis was done, which showed OVT. Patient was admitted to the gynecology service for intravenous antibiotics and for anticoagulation. Patient did well and was discharged after 2 days on Coumadin and oral antibiotics. Ovarian vein thrombosis is a rare condition with a number of serious and life-threatening complications. Therefore, not only is a high level of scrutiny required, but also an increased index of suspicion is essential for diagnosis of OVT and prevention of these dangerous outcomes.
卵巢静脉血栓形成（OVT）是一种罕见但可能严重的疾病，主要影响产后女性。它还与其他疾病有关，如盆腔炎、恶性肿瘤、败血症、炎症性肠病以及近期的盆腔或腹部手术。尽早识别和治疗这种疾病对于避免血栓形成的潜在并发症以及感染和败血症等不良后果至关重要。我们报告一例特发性OVT病例，患者为一名既往健康的绝经前女性，突发腹股沟疼痛。鉴别诊断时肾结石的可能性较大，因此进行了腹部/盆腔计算机断层扫描，结果显示为OVT。患者入住妇科接受静脉抗生素治疗和抗凝治疗。患者情况良好，在服用华法林和口服抗生素2天后出院。卵巢静脉血栓形成是一种罕见疾病，会引发多种严重且危及生命的并发症。因此，不仅需要高度仔细的检查，而且提高怀疑指数对于OVT的诊断和预防这些危险后果至关重要。
