从卵巢过度刺激到发现肝结节
Mariana O Santos1, Inês Marques2, Carlos Barata1
1Obstetrics and Gynecology, Unidade Local de Saúde (ULS) de Coimbra, Coimbra, PRT.
Cureus
|August 26, 2024
概括
卵巢过度刺激综合征 (OHSS) 可以导致深静脉血栓症 (DVT),这是一个罕见的并发症. 这一案例突出了双胞胎怀孕中严重的OHSS病例,由广泛的DVT和肝结节复杂化,需要长期抗凝药.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 血管医学 血管医学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 卵巢过度刺激综合征 (OHSS) 是排卵诱导疗法的潜在并发症.
- 深静脉血栓塞 (DVT) 是严重的OHSS的罕见但严重的后果.
- 遗传性血栓ophilia增加了OHSS中血栓栓塞事件的风险.
研究的目的:
- 报告一个罕见的严重OHSS病例,并由广泛的DVT和随后的肝结节复杂化.
- 强调对OHSS患者血栓栓塞事件和肝脏并发症的监测的重要性.
- 讨论一个怀孕的患者的管理OHSS,DVT,血栓性,和胆固醇.
主要方法:
- 一个患者接受排卵诱导的案例报告.
- 诊断严重的OHSS,广泛的DVT (臂脑干,关节,下静脉) 和血栓性.
- 通过超声波和MRI监测怀孕 (双胞胎,双胞胎双胞胎),胆固醇和肝结节.
- 长期随访,包括抗凝药和监测.
主要成果:
- 患者在排卵诱导后出现严重的OHSS和广泛的上肢DVT.
- 阳性血栓友爱的研究发现了四种突变.
- 怀孕涉及双胞胎,并因严重胆固醇和肝脏结节而复杂.
- 患者需要长期抗凝药,并在分娩后三年持续监测肝结块.
结论:
- 严重的OHSS,特别是在双胞胎怀孕和血栓形成症的背景下,构成广泛的DVT的重大风险.
- OHSS管理需要对血栓栓塞并发症和肝脏异常等潜在的副作用进行警监测.
- 多学科管理和长期随访对于患有严重OHSS及其后果的患者至关重要.
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