Ducharme S E, Herring D, Tripp H F
Department of Thoracic and Cardiovascular Surgery, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
J Vasc Surg. 1999 Apr;29(4):724-6. doi: 10.1016/s0741-5214(99)70322-8.
A variety of conditions cause unilateral leg swelling and thus mimic deep venous thrombosis (DVT). A heretofore-underappreciated condition that may lead to unilateral iliac vein compression, simulating DVT, is massive enlargement of the bladder caused by urinary retention. A case that demonstrates this condition is described. Although this disorder has been reported only three times before, its occurrence should be recognized by clinicians in light of the overall aging of our society. In addition, this case highlights the need for careful and thorough evaluation of patients who have unilateral lower-extremity edema.
多种情况可导致单侧腿部肿胀，从而酷似深静脉血栓形成（DVT）。一种迄今未得到充分认识、可能导致单侧髂静脉受压并酷似DVT的情况是由尿潴留引起的膀胱巨大肿大。本文描述了一个显示这种情况的病例。尽管这种病症此前仅被报道过三次，但鉴于我们社会的整体老龄化，临床医生应认识到其存在。此外，该病例凸显了对单侧下肢水肿患者进行仔细全面评估的必要性。
