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- 诱导性脾静脉血栓形成:一例关于急性腹痛罕见病因的病例报告

-induced splenic vein thrombosis: A case report on infrequent cause of acute abdomen.

作者信息

Saini Ruchika, Jesrani Gautam, Gupta Monica, Gupta Samiksha, Chhabra Ankit

机构信息

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.

出版信息

Turk J Emerg Med. 2021 Oct 29;21(4):210-213. doi: 10.4103/2452-2473.329625. eCollection 2021 Oct-Dec.

Abstract

Splenic vein thrombosis and splenic infarction are complications beyond the usual clinical spectrum of paratyphoid fever, and the presentation is rarely described. We report the case of a young female, who presented with high-grade fever and severe left upper quadrant pain. Her blood culture was positive for A, with Widal test suggesting 4-fold rise in titers. Computed tomography revealed splenic vein thrombosis and multiple splenic infarcts, for which antibiotic and anticoagulation were instituted simultaneously. She had a complete resolution with this management, and anticoagulation was tapered off on subsequent visits.

摘要

脾静脉血栓形成和脾梗死是超出伤寒热常见临床范围的并发症,其表现很少被描述。我们报告了一例年轻女性病例,她出现高热和严重的左上腹疼痛。她的血培养显示甲型副伤寒杆菌阳性,肥达试验提示效价升高4倍。计算机断层扫描显示脾静脉血栓形成和多发性脾梗死,对此同时给予抗生素和抗凝治疗。经此治疗,她完全康复,后续复诊时逐渐停用抗凝药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbfd/8593428/939b98337695/TJEM-21-210-g002.jpg

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