Maull K I, van Nagell J R, Greenfield L J
Am Surg. 1978 Nov;44(11):727-33.
Ovarian vein thrombosis, with rare exceptions, is a puerperal process that often mimicks appendicitis but may be recognized only in retrospect as a source of continued pulmonary embolization. Ovarian vein thrombosis may also accompany septic pelvic thrombophlebitis and constitute a life-threatening problem. Ovarian vein thrombosis probably exists in a subclinical form as well, and the relative infrequency of reports of this entity attest to the lack of clinical recognition rather than to its clinical rarity. Most instances of ovarian vein thrombosis will respond to antibiotics, anticoagulation, hydration and bed rest but, when septic in etiology, interruption of the vena cava and ovarian veins may be required. Acute appendicitis, the most frequent misdiagnosis, often leads to exploration, and careful resection of the affected vein in such patients generally results in cure.
卵巢静脉血栓形成，除极少数例外情况外，是一种产褥期病症，常酷似阑尾炎，但往往只能在事后回顾时才被确认为持续肺栓塞的根源。卵巢静脉血栓形成也可能伴随盆腔感染性血栓性静脉炎，并构成危及生命的问题。卵巢静脉血栓形成可能也以亚临床形式存在，关于该病症报告相对较少证明临床认识不足，而非其临床罕见。多数卵巢静脉血栓形成病例对抗生素、抗凝治疗、补液及卧床休息有反应，但病因是感染性时，可能需要阻断腔静脉和卵巢静脉。急性阑尾炎是最常见的误诊疾病，常导致进行探查，在此类患者中仔细切除受累静脉通常可治愈。
