Nezam Aria Homaira, Lauszus Finn Friis, Agha Krogh Rubab Hassan
Ugeskr Laeger. 2018 Oct 29;180(44).
In this case report a 38-year-old woman presented with lower abdominal pain three weeks postpartum. She had been delivered by caesarean section after twin pregnancy and was given low-molecular heparin prophylaxis to be taken six weeks post caesarean. The initial clinical examination was normal. A CT scan revealed thrombosis in the right ovarian vein. Therapeutic dosage of low-molecular heparin was initiated, and the patient was further referred for thrombophilia workup. Post-partum ovarian vein thrombosis is a very rare condition but a diagnosis to keep in mind, when women present with lower abdominal pain even weeks after labour.
在本病例报告中,一名38岁女性在产后三周出现下腹部疼痛。她在双胎妊娠后行剖宫产分娩,并在剖宫产后六周接受低分子肝素预防治疗。初步临床检查正常。CT扫描显示右卵巢静脉血栓形成。开始使用治疗剂量的低分子肝素,并将患者进一步转诊进行血栓形成倾向检查。产后卵巢静脉血栓形成是一种非常罕见的疾病,但当女性在分娩数周后出现下腹部疼痛时,应考虑到这一诊断。