目的性腺静脉血栓形成是一种罕见但严重的疾病,如果不引起注意,可能是致命的。高达80%的病例发生在患者分娩后,子宫切除术,或妇科肿瘤的淋巴结清扫术。这项研究的目的是在我们中心使用计算机断层扫描(CT)成像确定性腺静脉血栓形成的发生率,并描述相关的危险因素。方法回顾性分析,单中心,观察性研究是在吉达的阿卜杜勒阿齐兹国王医疗城进行的,沙特阿拉伯。在2005年1月至2017年12月期间,使用腹部和骨盆的对比增强计算机断层扫描成像收集了所有诊断为偶然性腺静脉血栓形成的患者的数据。我们纳入了所有偶然发现性腺静脉血栓形成的患者,并排除了数据不完整的患者。结果总计,58/68,268(0.08%)患者被纳入。57名患者是女性,只有一个是男性.患者的平均年龄(岁)为50.0±15.0(范围4-87)。34例患者(59%)有右性腺静脉血栓形成,20(34%)左侧有血栓形成,4例(7%)有双侧血栓形成。19例患者(33%)以前曾接受过骨盆手术。44名患者(76%)在诊断时患有恶性肿瘤。42例患者(72%)在诊断后接受了抗凝剂治疗。结论性腺静脉血栓形成是一种罕见的临床实体,临床表现模糊。肿瘤学人群的发病率与产科人群的报告发病率相似。开始抗凝治疗对于治疗这种情况和限制并发症很重要。
Objectives Gonadal vein thrombosis is an uncommon but serious condition that can be fatal if it goes unnoticed. Up to 80% of cases occur in patients after delivery, hysterectomy, or lymphadenectomy for gynecological neoplasms. The objective of this
study was to determine the incidence of gonadal vein thrombosis using computed tomography (CT) imaging at our center and to describe associated risk factors. Methods A retrospective, single-center, observational
study was conducted at King Abdulaziz Medical City in Jeddah, Saudi Arabia. Data were collected for all patients diagnosed with incidental gonadal-vein-thrombosis using contrast-enhanced computed tomography imaging of the abdomen and pelvis between January 2005 and December 2017. We included all patients with incidental findings of gonadal vein thrombosis and excluded those with incomplete data. Results In total, 58/68,268 (0.08%) patients were included. Fifty-seven patients were females, and only one was male. The mean age (years) of the patients was 50.0±15.0 (range 4-87). Thirty-four patients (59%) had right gonadal vein thrombosis, 20 (34%) had thrombosis on the left side, and four (7%) had bilateral thrombosis. Nineteen patients (33%) had undergone pelvic surgery previously. Forty-four patients (76%) had a malignancy at the time of diagnosis. Forty-two patients (72%) were treated with anticoagulants after the diagnosis. Conclusion Gonadal vein thrombosis is a rare clinical entity with vague clinical presentation. The incidence in the oncology population is similar to the reported incidence in the obstetric population. Initiation of anticoagulation therapy is important to treat this condition and limit complications.