产后卵巢静脉血栓性静脉炎表现为阴道出血：病例报告。
Postpartum ovarian vein thrombophlebitis presenting as vaginal bleeding: A case report.
机构信息
Department of Emergency Medicine.
Department of Obstetrics and Gynecology, Shuang-Ho Hospital, Taipei Medical University, Taiwan.
出版信息
Medicine (Baltimore). 2021 Feb 26;100(8):e24632. doi: 10.1097/MD.0000000000024632.
RATIONALE
Postpartum ovarian vein thrombophlebitis (POVT) is a rare condition, and it can lead to severe complications and mortality. Here we report a patient who presented with vaginal bleeding and the diagnosis of POVT was confirmed by imaging.
PATIENT CONCERNS
A 38-year-old postpartum woman without remarkable medical history presented with vaginal bleeding and lower abdominal pain.
DIAGNOSES
The diagnosis was confirmed by computed tomography scan marked by a thrombus mass involving the right ovarian vein and inferior vena cava.
INTERVENTIONS
The patient was treated with intravenous antibiotics and low-molecular-weight heparin.
OUTCOMES
The patient recovered smoothly without complications.
LESSONS
We should pay high attention to the recognition and management of POVT to prevent morbidity and mortality.
背景
产后卵巢静脉血栓形成（POVT）是一种罕见的病症，可导致严重的并发症和死亡率。在这里，我们报告了一位以阴道出血为表现并经影像学检查确诊为 POVT 的患者。
病例介绍
一位 38 岁的产后女性，无明显病史，以阴道出血和下腹痛就诊。
诊断
计算机断层扫描（CT）显示右侧卵巢静脉和下腔静脉血栓形成，诊断明确。
治疗
患者接受了静脉内抗生素和低分子量肝素治疗。
治疗结果
患者恢复顺利，无并发症。
结论
我们应该高度重视 POVT 的识别和管理，以预防发病率和死亡率。
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