一个不寻常的嫌疑人:怀孕第三个三个月的右下体疼痛
Dina Jleilati1, Romain Gillard2
1Intern in Radiology, Radiology Department, CHU de Liège, Belgium.
Journal of the Belgian Society of Radiology
|February 9, 2026
概括
上腺静脉血栓形成是怀孕患者不可解释的上腺扩大的关键考虑因素. 即使没有直接的血栓可视化,早期诊断也能及时进行抗凝剂治疗,以预防上腺功能不充分.
科学领域:
- 产科和妇科 产科和妇科
- 血管外科 血管外科
- 内分泌学 在内分泌学.
背景情况:
- 上静脉血栓症 (AVT) 是一种罕见但严重的疾病.
- 怀孕带来了独特的生理挑战,可以增加血栓栓塞事件的风险.
- 怀孕时单侧上腺扩大可能是具有挑战性的诊断,有各种潜在的病因.
研究的目的:
- 强调在怀孕患者中考虑上腺静脉血栓的重要性,这些患者有不明原因的单边上腺扩大.
- 强调诊断的挑战,特别是当血栓没有直接可视化时.
- 强调早期诊断的好处,以有效管理和预防并发症.
主要方法:
- 孕妇患者的病例综述呈现出无法解释的单侧上腺扩大.
- 对成像检测结果的审查,包括超声波和CT/MRI,重点是上腺形态.
- 临床表现与诊断结果和管理策略的相关性.
主要成果:
- 在怀孕的孕妇中,应该怀疑上腺静脉血栓,因为她们有不明原因的单边上腺扩大.
- 上腺静脉血栓在初始成像中可能并不总是直接可视化.
- 及时诊断有助于有效的抗凝剂管理.
结论:
- 上腺静脉血栓是怀孕患者单边上腺扩大的一个重要的差异诊断.
- 早期识别和用抗凝药治疗可以预防上腺功能衰竭和其他血栓栓塞并发症.
- 增加临床怀疑和适当的成像解释对于及时诊断至关重要.
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