Chawla Lavneet, Sachdeva Amitoj S
Adult Hospitalist Services, OSF Saint Francis Medical Center, Peoria, USA.
Internal Medicine, University of Illinois School of Medicine Peoria, Peoria, USA.
Cureus. 2024 Apr 4;16(4):e57604. doi: 10.7759/cureus.57604. eCollection 2024 Apr.
Renal vein thrombosis (RVT) is a common complication of nephrotic syndrome and renal malignancy. However, its association with oral contraceptive use has rarely been reported. We report a case of a 29-year-old female with a history of oral contraceptive use, presenting with acute flank pain. On further investigation, she was found to have unilateral RVT. Oral contraception was discontinued, and she was started on therapeutic anticoagulation, initially with low-molecular-weight heparin, and then switched to apixaban. Her symptoms improved, and she is currently doing well. This case signifies the importance of proper history-taking and how oral contraception should be considered a significant risk factor for venous thromboembolism.
肾静脉血栓形成(RVT)是肾病综合征和肾恶性肿瘤的常见并发症。然而,其与口服避孕药使用之间的关联鲜有报道。我们报告一例有口服避孕药使用史的29岁女性,她出现急性胁腹痛。进一步检查发现她患有单侧RVT。停用口服避孕药,并开始进行治疗性抗凝,最初使用低分子肝素,然后改用阿哌沙班。她的症状有所改善,目前情况良好。该病例表明了详细病史采集的重要性,以及口服避孕药应如何被视为静脉血栓栓塞的重要危险因素。