Kaufman N, Elias M, Maimon S
Dept. of Medicine B, Central Hospital of the Emek, Afula.
Harefuah. 1996 Jul;131(1-2):12-4, 71.
A 29-year-old woman with extensive pelvic thrombophelebitis complicating postpartum, ovarian vein thrombosis is described. The phlebitic process involved both ovaries, extending upwards to the inferior vena cava above the level of the renal veins and downwards to the ileo-femoral system, obstructing the venous drainage of the lower limbs. Extensive postpartum thrombophlebitis is now rarely encountered, since its early clinical diagnosis using CT and US techniques allows early treatment, obviates this complication. Postpartum bedside alertness, aided by modern imaging techniques, may prevent serious, life-threatening complications.
本文描述了一名29岁产后并发广泛盆腔血栓性静脉炎的女性患者,其患有卵巢静脉血栓形成。静脉炎累及双侧卵巢,向上延伸至肾静脉水平以上的下腔静脉,向下延伸至髂股静脉系统,阻碍了下肢的静脉回流。由于采用CT和超声技术可对广泛产后血栓性静脉炎进行早期临床诊断,从而实现早期治疗,避免了这一并发症,因此现在这种情况已很少见。借助现代成像技术的产后床边警觉性,可预防严重的、危及生命的并发症。