Glanzer Rebecca, Rogers Nicole, Patrick Ryan J, Hassebroek-Johnson Jeanne
Sanford School of Medicine, Vermillion, SD 57069, USA.
Department of Obstetrics and Gynecology, Sanford Health, Sioux Falls, SD 57117, USA.
J Surg Case Rep. 2021 Sep 8;2021(9):rjab389. doi: 10.1093/jscr/rjab389. eCollection 2021 Sep.
Ovarian vein thrombosis (OVT) is a rare condition most frequently associated with pelvic inflammatory disease (PID), malignancy or the immediate postpartum period. This case study reports on a 56-year-old woman who developed OVT 11 days after a positive COVID-19 diagnosis. Imaging including abdominal/pelvic computed tomography, transvaginal Doppler ultrasound and transabdominal pelvic ultrasound failed to definitively diagnose the thrombotic etiology of the patient's presentation. Ultimately, laparoscopic visualization and subsequent oophorectomy were necessary for diagnostic and therapeutic purposes. The patient did not have underlying malignancy, recent surgical history, history of PID or any history of previous thromboembolic events. Therefore, this report contributes further evidence to the growing knowledge of systemic manifestations associated with COVID-19 that may require surgical intervention.
卵巢静脉血栓形成（OVT）是一种罕见疾病，最常与盆腔炎（PID）、恶性肿瘤或产后即刻相关。本病例研究报告了一名56岁女性，在新冠病毒病（COVID-19）诊断呈阳性11天后发生了OVT。包括腹部/盆腔计算机断层扫描、经阴道多普勒超声和经腹盆腔超声在内的影像学检查未能明确诊断该患者表现的血栓形成病因。最终，为了诊断和治疗目的，需要进行腹腔镜直视检查及随后的卵巢切除术。该患者没有潜在恶性肿瘤、近期手术史、PID病史或任何既往血栓栓塞事件史。因此，本报告为与COVID-19相关的可能需要手术干预的全身表现的不断增加的知识提供了进一步的证据。
