Chu G, Farrell G C
Department of Gastroenterology and Hepatology, Westmead Hospital, New South Wales, Australia.
J Gastroenterol Hepatol. 1993 Jul-Aug;8(4):390-3. doi: 10.1111/j.1440-1746.1993.tb01533.x.
The case is described of a 38 year old woman who developed severe right upper quadrant abdominal pain that was associated with partial portal vein occlusion, as confirmed by flow Doppler ultrasonography and dynamic contrast computed tomography. The patient was a cigarette smoker and had taken combined oestrogen/progestagen oral contraceptive steroids (OCS) continuously for 24 years. There were no other risk factors for portal vein thrombosis or for thromboembolic disease. Following anticoagulant therapy and discontinuation of OCS complete recovery occurred. The case is reported to draw attention to portal vein thrombosis as an extremely rare complication of OCS.
本文描述了一名38岁女性的病例，该患者出现严重的右上腹腹痛，经彩色多普勒超声和动态对比计算机断层扫描证实与部分门静脉闭塞有关。患者为吸烟者，连续服用复方雌激素/孕激素口服避孕药（OCS）达24年。不存在门静脉血栓形成或血栓栓塞性疾病的其他危险因素。经过抗凝治疗并停用OCS后，患者完全康复。报道该病例旨在提醒人们注意门静脉血栓形成是OCS极其罕见的一种并发症。
