Basit Abdul, Kaur Pushpinder, Villanueva Diana M, Tahir Muhammad, Sonnenschine Mark
Internal Medicine, Coney Island Hospital, Brooklyn, USA.
Pathology, Case Western Reserve University School of Medicine, Cleveland, USA.
Cureus. 2020 Aug 29;12(8):e10111. doi: 10.7759/cureus.10111.
Ovarian vein thrombosis (OVT) is a potentially life-threatening condition, and it is typically related to the peripartum period; however, it is also associated with pelvic inflammatory disease, recent pelvic or abdominal surgery, inflammatory bowel disease, thrombophilia, malignancy, and sepsis. Idiopathic isolated OVT is rare and is usually presented as case reports in the medical literature. In this report, we present a case of bilateral OVT in a postmenopausal female with no identifiable risk factors and normal coagulation profile workup to highlight the importance of considering it as a differential diagnosis in female patients presenting with abdominal pain. Early identification can prevent potentially life-threatening complications. Management is often conservative, and the choice of anticoagulation is based on the patient's medical conditions. In this particular scenario, the patient was managed with low molecular weight heparin (LMWH) and transitioned to direct oral anticoagulant (DOAC) before discharge.
卵巢静脉血栓形成（OVT）是一种潜在的危及生命的疾病，通常与围产期有关；然而，它也与盆腔炎性疾病、近期盆腔或腹部手术、炎症性肠病、血栓形成倾向、恶性肿瘤和败血症有关。特发性孤立性OVT很少见，在医学文献中通常以病例报告的形式呈现。在本报告中，我们介绍了一例绝经后女性双侧OVT病例，该患者没有可识别的危险因素且凝血指标检查正常，以强调在出现腹痛的女性患者中将其作为鉴别诊断的重要性。早期识别可预防潜在的危及生命的并发症。治疗通常是保守的，抗凝药物的选择基于患者的病情。在这种特殊情况下，患者接受了低分子量肝素（LMWH）治疗，并在出院前改用直接口服抗凝剂（DOAC）。
