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在绝经后妇女的异常左侧卵巢静脉血栓形成
Simon Zhen1,2, Afek Kodesh2, William Preston2
1Medicine, Albert Einstein College of Medicine, Bronx, New York, USA simon.zhen@einsteinmed.edu.
BMJ case reports
|December 7, 2023
概括
异常性左侧卵巢静脉血栓 (OVT) 异常罕见,特别是在绝经后的女性. 这一案例突出了一个没有典型风险因素的独特案例,强调需要更广泛的诊断考虑.
科学领域:
- 血管医学 血管医学
- 放射学 放射学是一门学科.
- 血栓塞栓性疾病 血栓塞栓性疾病
背景情况:
- 卵巢静脉血栓症 (OVT) 是一种罕见的血栓栓塞状况,通常影响右卵巢静脉.
- 常见的危险因素包括怀孕,雌激素治疗,手术,恶性瘤和血栓形成症.
- 异常性OVT发生在没有可识别的风险因素的情况下.
研究的目的:
- 报告一种罕见的异常左侧OVT病例,发生在绝经后妇女身上.
- 讨论这种不寻常的呈现的诊断挑战和管理.
- 为有限的关于异常左侧OVT的文献做出贡献.
主要方法:
- 一个绝经后妇女的病例报告呈现左下象限腹部疼痛.
- 诊断成像包括计算机断层扫描 (CT) 扫描和磁共振成像 (MRI).
- 治疗包括使用低分子量肝素的抗凝剂,其次是阿皮克萨班.
主要成果:
- 这位患者被诊断为异常左侧OVT.
- 她没有可识别的危险因素,并且处于更年期后.
- 在抗凝治疗后3个月的随访中,患者仍然没有症状.
结论:
- 异常性左侧OVT非常罕见,特别是在没有危险因素的绝经后妇女中.
- 这个案例扩大了对OVT演示和管理的理解.
- 需要进一步的研究来阐明罕见的OVT病例的病理生理学和最佳治疗策略.
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