孤立性左卵巢静脉血栓形成引起急性腹痛。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Case Reports in Medicine Pub Date : 2023-01-01 DOI:10.1155/2023/9528088
Abhay Setia, Farzin Adili, Karl Ludwig, Joerg Herold
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引用次数: 0

摘要

卵巢静脉血栓(OVT)是一种罕见的血栓栓塞性疾病。70-80%的病例累及卵巢右静脉。发生OVT的危险因素包括妊娠或产褥期、雌激素激素治疗、近期手术或住院、恶性肿瘤、盆腔炎、血栓形成和特发性OVT。我们提出了一个罕见的病例左OVT在一个年轻的,未怀孕的妇女在她30多岁。有中青年女性、下腹疼痛、血尿三联征的患者诊断OVT需要高度怀疑。对比增强计算机断层扫描(ct -静脉造影)是首选的诊断方式。患者最初使用低分子肝素治疗,然后改用直接口服抗凝剂。随访6个月,患者无任何症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Acute Abdominal Pain as a Result of an Isolated Left Ovarian Vein Thrombosis.

Ovarian vein thrombosis (OVT) is a rare thromboembolic condition. It involves the right ovarian vein in 70-80% of cases. The risk factors for the development of OVT are pregnancy or puerperium, hormone therapy with estrogen, recent surgery or hospitalization, malignancy, pelvic inflammatory diseases, thrombophilia and idiopathic OVT. We present a rare case of left OVT in a young, non-pregnant woman in her 30 s. A high degree of suspicion is necessitated in patients with the triad of young-middle-aged female, pain abdomen in lower quadrant and hematuria to diagnose OVT. Contrast enhanced computer tomography (CT-venography) is the diagnostic modality of choice. The patient was initially treated with low molecular weight heparin and then switched to direct oral anticoagulants. At 6-monthsfollow-up the patient was free from any symptoms.

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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
期刊最新文献
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