Cavezzi A
Servizio di Patologia Vascolare Clinica Stella Maris S. Benedetto del Tronto.
Minerva Cardioangiol. 1999 Sep;47(9):309-13.
The author reports a case of isolated thrombosis of plantar veins, a rare finding in the international medical literature, in a patient who had a previous knee arthrocentesis and a strict localized bandage. The clinical aspect of perimalleolar-podalic (mainly plantar) oedema, with localized pain, was followed by colour flow duplex investigation, which is considered the fundamental and most useful means to achieve the diagnosis and to perform an adequate follow-up. Pharmacological therapy of such kinds thrombosis may be of an antithrombotic or anticoagulant nature, always associating elastic compression. Aethiopathogenesis of this localized thrombosis is still uncertain, but probably in situ mechanical compressions may play an important role.
作者报告了一例足底静脉孤立性血栓形成病例，这在国际医学文献中是罕见的发现，该患者此前接受过膝关节穿刺术并使用了严格的局部绷带。踝关节周围足部（主要是足底）水肿伴局部疼痛的临床症状之后进行了彩色多普勒血流检查，这被认为是实现诊断和进行充分随访的基本且最有用的方法。此类血栓形成的药物治疗可能具有抗血栓或抗凝性质，始终结合弹性压迫。这种局部血栓形成的发病机制仍不确定，但原位机械压迫可能起重要作用。
