Abrantes João, Teixeira Eliana, Gomes Fernanda, Fernandes Clara
Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal.
BMJ Case Rep. 2019 Jun 21;12(6):e228399. doi: 10.1136/bcr-2018-228399.
A 34-year-old multipara presented 72 hours postpartum with acute right-sided abdominal pain. The investigation revealed mild leucocytosis with positive D-dimer and elevated C reactive protein. Abdominal ultrasound and abdominopelvic CT demonstrated an enlarged right ovarian vein with endoluminal thrombus, representing postpartum ovarian vein thrombosis. The patient became asymptomatic 48 hours after starting broad-spectrum antibiotic treatment and anticoagulant therapy. She completed the treatment in ambulatory regimen and control abdominopelvic CT imaging was performed and revealed a duplicated right ovarian vein and a small residual subacute thrombus in the lumen of the distal right ovarian vein. The patient remained asymptomatic in the clinical follow-up.
一名34岁经产妇在产后72小时出现急性右侧腹痛。检查发现轻度白细胞增多，D-二聚体阳性，C反应蛋白升高。腹部超声和腹盆腔CT显示右侧卵巢静脉增粗，管腔内有血栓，提示产后卵巢静脉血栓形成。患者在开始广谱抗生素治疗和抗凝治疗48小时后症状消失。她在门诊完成了治疗，并进行了腹盆腔CT复查，结果显示右侧卵巢静脉重复畸形，右侧卵巢静脉远端管腔内有一小片残留的亚急性血栓。患者在临床随访中一直无症状。
