腹腔镜辅助阴式子宫切除术加双侧输卵管切除术后卵巢静脉血栓形成的诊断与处理：1例病例报告及文献复习
Diagnosis and management of ovarian vein thrombosis after laparoscopic -assisted vaginal hysterectomy with bilateral salpingectomy: A case report and literature review.
作者信息
Chen Yi-Ting, Lin Yi-Lun, Tsai Yueh-Ting, Wen Jen-Yu, Hsiao Tsun-Wen, Tsai Yung-Chieh
机构信息
Center for Reproductive Medicine, Depart of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, Taiwan.
Department of Medical Imaging, Chi Mei Medical Center, Tainan, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2023 Mar;62(2):369-371. doi: 10.1016/j.tjog.2022.08.018.
OBJECTIVE
We present a case who developed ovarian vein thrombosis (OVT) after laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy to share our experience.
CASE REPORT
A 46-year-old woman came to our hospital due to severe dysmenorrhea induced by adenomyosis. Medical treatments were given but with unsatisfactory effect. As the patient had completed family planning, a hysterectomy was scheduled. However, on the sixth postoperative day, the patient complained of low abdominal pain with fever on and off. After a series of examinations, right OVT was diagnosed. The patient was treated with antibiotics only. Under close surveillance, the OVT resolved spontaneously, and the patient was discharged.
CONCLUSION
Diagnosis of OVT requires highly suspicion owing to its rarity and non-specific presentation. OVT is a potentially serious venous thromboembolism that sometimes can be life threatening. Anticoagulant treatment is still controversial. Conventional Tomography with contrast medium could detect early OVT with high sensitivity and specificity.
目的
我们报告一例在腹腔镜辅助下阴式子宫切除术加双侧输卵管切除术术后发生卵巢静脉血栓形成（OVT）的病例，以分享我们的经验。
病例报告
一名46岁女性因子宫腺肌病引起的严重痛经前来我院就诊。给予药物治疗但效果不佳。由于患者已完成计划生育，计划进行子宫切除术。然而，术后第六天，患者主诉下腹部疼痛伴间断发热。经过一系列检查，诊断为右侧OVT。患者仅接受了抗生素治疗。在密切监测下，OVT自行消退，患者出院。
结论
由于OVT罕见且表现不具特异性，其诊断需要高度怀疑。OVT是一种潜在的严重静脉血栓栓塞症，有时可能危及生命。抗凝治疗仍存在争议。传统的造影剂断层扫描能够以高灵敏度和特异性检测早期OVT。
Zotero 插件