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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Portal Cavernoma during Pregnancy
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Portal Cavernoma during Pregnancy

机译：妊娠期门静脉海绵状瘤

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Portal vein thrombosis (PVT) is characterized by the obstruction of the portal venous system. The venous obstruction can be partial or complete and it is caused by thrombogenic conditions (acquired or hereditary) or nonthrombotic factors. The acquired conditions include abdominal inflammation, infections, surgery, myeloproliferative disorders, obesity, oral contraceptive intake, pregnancy, and postpartum period. Occasionally, it is not possible to recognize any overt cause of PVT. During pregnancy there is an increased venous thromboembolism risk mainly in the systemic venous system and the PVT can occur, but there are no data about its exact prevalence, etiology, and outcome. The portal cavernoma is the cavernomatous transformation of the portal vein. It is a consequence of chronic PVT and occurs when myriads of collateral channels develop to bypass the occlusion. The clinical presentation includes hematemesis due to variceal bleeding, ascites or anaemia, and splenomegaly. The cavernous transformation of the portal vein is easily diagnosed by sonography. We report our case of a 32-year-old, gravida 3 para 2, pregnant woman admitted to our hospital at 13 weeks and 1 day of gestation, clinically asymptomatic. Laboratory test, ultrasound, and endoscopic evaluation were negative. After a detailed counseling, the patient decided on termination of pregnancy at 15 weeks and 1 day of gestation.
机译：门静脉血栓形成（PVT）的特征是门静脉系统阻塞。静脉阻塞可能是部分或完全的，由血栓形成条件（后天或遗传性）或非血栓形成因素引起。获得性疾病包括腹部炎症，感染，手术，骨髓增生异常，肥胖，口服避孕药摄入，怀孕和产后时期。有时，无法识别出任何明显的PVT原因。怀孕期间，静脉血栓栓塞的风险增加，主要发生在全身静脉系统中，并且可能发生PVT，但尚无关于其确切患病率，病因和预后的数据。门脉海绵状瘤是门静脉的海绵状转化。这是慢性PVT的结果，发生在无数侧支通道绕开闭塞时。临床表现包括因静脉曲张破裂出血，腹水或贫血和脾肿大引起的呕血。超声检查很容易诊断出门静脉的海绵状变。我们报告一例32岁，妊娠3第2段的孕妇，在妊娠13周和1天时入院，无临床症状。实验室检查，超声检查和内窥镜检查均为阴性。经过详细的咨询，患者决定在妊娠15周和1天时终止妊娠。

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