Guillem P, Bounoua F, Keith M, Duval G
Service de Chirurgie Viscérale, Centre Hospitalier, Armentières.
Gastroenterol Clin Biol. 2001 Jan;25(1):97-9.
Venous aneurysms are usually difficult to diagnose, especially when they are located in the inguinal area where they can be misinterpreted as inguinal or femoral hernias. We report the case of a 70-year-old man with a painful thrombosed aneurysm of the femoral vein that was clinically undistinguishable from a strangulated hernia. The ultrasonogram, performed 2 months before the acute pain when the femoral swelling was painless, seemed to confirm the incorrect diagnosis of femoral hernia, and the aneurysm was finally labeled as such during surgical exploration. Massive embolism to the lungs and heart occurred peroperatively and resulted in death.
静脉瘤通常难以诊断，尤其是当它们位于腹股沟区时，可能会被误诊为腹股沟疝或股疝。我们报告一例70岁男性，患有股静脉疼痛性血栓形成的动脉瘤，临床上与绞窄性疝无法区分。在急性疼痛前2个月，当股部肿胀无痛时进行的超声检查似乎证实了股疝的错误诊断，最终在手术探查时将动脉瘤标记为股疝。术中发生了大量肺和心脏栓塞，导致患者死亡。
