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一例产后卵巢静脉血栓形成病例。

A Case of Postpartum Ovarian Vein Thrombosis.

作者信息

Khalid Sidra, Khalid Aariez, Daw Hamed

机构信息

Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA.

Bachelor of Science (biomedical Science), University of Guelph.

出版信息

Cureus. 2018 Feb 1;10(2):e2134. doi: 10.7759/cureus.2134.

DOI:10.7759/cureus.2134
PMID:29616156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5878095/
Abstract

Ovarian vein thrombosis (OVT) is an rare condition, which can present in the postpartum period. We present a case of a 35-year-old female who presented with right lower quadrant pain and fever. Her computed tomography (CT) abdomen revealed a dilated right ovarian vein with soft tissue attenuation material in its lumen that extended into the inferior vena cava, along with fat stranding of the surrounding soft tissues signifying thrombophlebitis. She was treated with enoxaparin and piperacillin-tazobactam, which lead to a resolution of the thrombus. Our case highlights the importance of prompt diagnosis and treatment of OVT in order to prevent morbidity and mortality.

摘要

卵巢静脉血栓形成(OVT)是一种罕见的病症,可出现在产后阶段。我们报告一例35岁女性病例,该患者表现为右下腹疼痛和发热。她的腹部计算机断层扫描(CT)显示右卵巢静脉扩张,管腔内有软组织密度影延伸至下腔静脉,同时周围软组织脂肪条索征提示血栓性静脉炎。她接受了依诺肝素和哌拉西林 - 他唑巴坦治疗,血栓得以溶解。我们的病例强调了及时诊断和治疗OVT对于预防发病和死亡的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f960/5878095/564898393f3b/cureus-0010-00000002134-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f960/5878095/564898393f3b/cureus-0010-00000002134-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f960/5878095/564898393f3b/cureus-0010-00000002134-i01.jpg

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本文引用的文献

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Ovarian vein thrombus: to treat or not to treat?卵巢静脉血栓:治疗还是不治疗?
Blood Adv. 2017 Jun 22;1(15):1120-1123. doi: 10.1182/bloodadvances.2017006577. eCollection 2017 Jun 27.
2
Risk factors and prognosis of ovarian vein thrombosis.
Blood Coagul Fibrinolysis. 2017 Sep;28(6):468-474. doi: 10.1097/MBC.0000000000000623.
3
Ovarian vein thrombosis.卵巢静脉血栓形成
Pan Afr Med J. 2015 Aug 6;21:251. doi: 10.11604/pamj.2015.21.251.6908. eCollection 2015.
4
Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis.非妊娠女性的卵巢静脉血栓形成:一种被忽视的诊断。
Ther Adv Hematol. 2012 Oct;3(5):325-8. doi: 10.1177/2040620712450887.
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Postpartum ovarian vein thrombosis.产后卵巢静脉血栓形成
JSLS. 2011 Apr-Jun;15(2):268-71. doi: 10.4293/108680811X13071180406673.