Badrawi Noor, Abdulghaffar Shareefa
Department of Radiology, Rashid Hospital, Dubai Health Authority, PO Box 4545, Dubai, United Arab Emirates.
Radiol Case Rep. 2021 Nov;16(11):3491-3493. doi: 10.1016/j.radcr.2021.08.024. Epub 2021 Aug 16.
Coronavirus disease 2019 (COVID-19) infection is associated with high risk of venous thromboembolic events mainly pulmonary embolism or deep venous thrombosis of the lower limbs. Ovarian vein thrombosis is a rare and serious condition usually seen in the immediate postpartum period and other conditions including pelvic inflammatory diseases, gynecological malignancies, hypercoagulable states, and few cases to date have reported ovarian vein thrombosis as a complication of COVID-19 infection. Patient with ovarian vein thrombosis usually presents with fever and lower abdominal pain that can mimic acute surgical abdomen and high index of suspicion is required for diagnosis. We report a case of a 41-year-old Asian female presented to our hospital with fever and acute lower abdominal pain. Laboratory findings show positive COVID-19 test and high D-dimer. Patient underwent computed tomography of the abdomen and pelvis and a confirmed diagnosis of right ovarian vein thrombosis was made. Patient was treated with anticoagulation and empirical antibiotics and her symptoms have significantly improved.
2019冠状病毒病（COVID-19）感染与静脉血栓栓塞事件的高风险相关，主要是肺栓塞或下肢深静脉血栓形成。卵巢静脉血栓形成是一种罕见且严重的病症，通常见于产后即刻以及其他情况，包括盆腔炎性疾病、妇科恶性肿瘤、高凝状态，迄今为止仅有少数病例报道卵巢静脉血栓形成作为COVID-19感染的并发症。卵巢静脉血栓形成的患者通常表现为发热和下腹部疼痛，可酷似急性急腹症，诊断需要高度怀疑。我们报告一例41岁亚洲女性因发热和急性下腹部疼痛就诊于我院。实验室检查结果显示COVID-19检测呈阳性且D-二聚体升高。患者接受了腹部和盆腔计算机断层扫描，确诊为右卵巢静脉血栓形成。患者接受了抗凝治疗和经验性抗生素治疗，症状已显著改善。
