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产后女性卵巢静脉血栓形成:一例报告

Ovarian vein thrombosis in a postpartum female: A case report.

作者信息

Jha Anamika, Khatiwada Abhikanta, Kc Sharada

机构信息

Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Department of Internal Medicine, NAIHS, Kathmandu, Nepal.

出版信息

Radiol Case Rep. 2024 Aug 10;19(11):4759-4761. doi: 10.1016/j.radcr.2024.07.063. eCollection 2024 Nov.

Abstract

Ovarian vein thrombosis (OVT), while uncommon, is a serious complication that can arise from pregnancy, pelvic inflammatory disease, oncological conditions, and pelvic surgeries. Here we discuss a case of a 37-year-old woman who, during her postpartum period, experienced lower abdominal pain and fever. Utilizing imaging findings, she was ultimately diagnosed with right ovarian vein thrombosis. The puerperium represents a hypercoagulable state, heightening the risk of OVT, particularly following a cesarean section. Despite its rarity, OVT should invariably be considered in the differential diagnosis when evaluating patients who present with postpartum abdominal pain and/or fever.

摘要

卵巢静脉血栓形成(OVT)虽不常见,但却是一种可由妊娠、盆腔炎性疾病、肿瘤性疾病及盆腔手术引发的严重并发症。在此,我们讨论一例37岁女性病例,该患者在产后出现下腹部疼痛和发热。通过影像学检查结果,她最终被诊断为右卵巢静脉血栓形成。产褥期处于高凝状态,增加了发生OVT的风险,尤其是在剖宫产术后。尽管OVT较为罕见,但在评估出现产后腹痛和/或发热的患者时,鉴别诊断中应始终考虑到该病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf9a/11366861/4bbab43c64c9/gr1.jpg

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