剖宫产术后左侧卵巢静脉血栓1例报告

Left ovarian vein thrombosis after cesarean section: a case report

产后卵巢静脉血栓（postpartum ovarian vein thrombosis,POVT）是产后罕见、严重的并发症,自1956年Austin首次描述POVT以来,有关POVT的文献多见于个案研究,多数文献报道POVT发病率在0.002%～0.05%,且有80%～90%发生于右侧卵巢静脉[1-3]。剖宫产较自然产POVT发病率高,

To investigate the clinical presentation, diagnosis and therapy of the postpartum ovarian vein thrombosis.Retrospective analysis was made of one case in our hospital of postpartum ovarian vein thrombosis. Literature was reviewed to investigate the clinical presentation,diagnosis and therapy of postpartum ovarian vein thrombosis. The patient presented with fever, abdominal pain, lower back pain, and ultrasound showed pyelectasis. Her blood and urine bacterial culture was negative, and the antibiotic treatment had no significant effect, which was diagnosed by CT finally.The patient＇ s blood routine returned to normal 3 days after anti-inflammatory and anticoagulant therapy, and thrombosis was significantly reduced. She was followed-up and her condition was stable. Postpartum ovarian vein thrombosis patients often present with high temperature with unknown causes and one side abdominal pain, and CT diagnosis is needed.Timely and effective anti-inflammatory and anticoagulant therapy can significantly improve the prognosis.