Kalantary Atefeh, Shafiei Sina, Tabet Anthony R, Lazarus Michael E
Department of Internal Medicine University of California, Los Angeles.
Department of Medicine VA Greater Los Angeles Healthcare System.
J Brown Hosp Med. 2024 Oct 1;3(4):50-53. doi: 10.56305/001c.123973. eCollection 2024.
Gonadal vein thrombosis (GVT) is a very rare complication of uterine fibroid embolization. The risk factors for GVT include pregnancy, especially after caesarean-section, oral contraceptive use, underlying malignancy, any pelvic surgery including embolization procedures, pelvic inflammatory disease, inflammatory bowel disease and idiopathic causes. We report a case of a patient who underwent extensive uterine fibroid embolization and presented to the Emergency Department within twenty-four hours, with fever, and severe abdominal pain. Computed tomography of the abdomen and pelvis with intravenous (IV) contrast confirmed a partial right gonadal vein thrombosis. After extensive work up, and no alternative causes found, a diagnosis of procedure related GVT was made. After review of the literature and discussion with hematology consultants, she was started on anticoagulant therapy. Her symptoms resolved and she remained on anticoagulation for a duration of three months.
性腺静脉血栓形成（GVT）是子宫肌瘤栓塞术一种非常罕见的并发症。GVT的危险因素包括妊娠，尤其是剖宫产术后、口服避孕药的使用、潜在恶性肿瘤、包括栓塞手术在内的任何盆腔手术、盆腔炎、炎症性肠病以及特发性病因。我们报告一例患者，该患者接受了广泛的子宫肌瘤栓塞术，并在24小时内就诊于急诊科，伴有发热和严重腹痛。腹部和盆腔增强计算机断层扫描证实右侧性腺静脉部分血栓形成。经过全面检查且未发现其他病因后，诊断为与手术相关的GVT。在查阅文献并与血液学顾问讨论后，开始对她进行抗凝治疗。她的症状得到缓解，并持续抗凝治疗了三个月。
