Ovarian vein thrombosis following total laparoscopic hysterectomy

被引：5

作者：

Tanaka, Yusuke ^{[1
]}

Kato, Hiroyasu ^{[2
]}

Hosoi, Ayako ^{[1
]}

Isobe, Masanori ^{[1
]}

Koyama, Shinsuke ^{[1
]}

Shiki, Yasuhiko ^{[1
]}

机构：

[1] Osaka Rosai Hosp, Dept Obstet & Gynecol, Kita Ku, 1179-3 Nagasone, Sakai, Osaka, Japan

[2] Osaka Rosai Hosp, Dept Cardiol, Sakai, Osaka, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2012年 / 5卷 / 04期

关键词：

Fever of unknown origin; laparoscopy; venous thrombosis;

D O I：

10.1111/j.1758-5910.2012.00147.x

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Ovarian vein thrombosis usually occurs in pregnant patients, especially during the postpartum period. However, it is a rare complication following laparoscopic surgery in gynecology. The risk of a thromboembolic event is not well defined, and evidence-based guidelines regarding deep vein thrombosis prophylaxis in gynecological laparoscopic surgery are still lacking. Herein we report a rare case of ovarian vein thrombosis following total laparoscopic hysterectomy in a 35-year-old woman who developed a fever of unknown origin on postoperative day 3. A complete fever work-up was done. Her urine, vaginal stump and blood culture were all negative, and her white blood cell count was normal. CT revealed left ovarian vein thrombosis. The patient responded well to anticoagulation in conjunction with antibiotic therapy.

引用

页码：179 / 182

页数：4

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