Katzenschlager R, Hold M, Hofmann J, Hirschl M
Angiologie, Hanuschkrankenhaus Wien, Osterreich, Germany.
Ultraschall Med. 2001 Aug;22(4):195-8. doi: 10.1055/s-2001-16817.
Venous aneurysms are a rare pathology. The possible complications are rupture, thrombosis and subsequently pulmonary embolism. The case of a 54-year-old male is reported, who was admitted on the suspicion of pulmonary embolism to our department. This suspicion was confirmed by scintigraphy and computed tomography. Further examination by colour coded duplex sonography showed an aneurysm of the popliteal vein in clinically asymptomatic legs, as a possible cause of the pulmonary embolism. The finding was confirmed phlebographically. After successful surgical treatment of the aneurysm the patient got an anticoagulation therapy for 6 months. In the case of thromboembolism the entire venous system can be affected. Therefore an examination of the peripheral veins should be carried out whenever there is an occurrence of pulmonary embolism.
静脉瘤是一种罕见的病理情况。可能的并发症有破裂、血栓形成以及随后的肺栓塞。本文报道了一名54岁男性病例，该患者因疑似肺栓塞入住我院。闪烁扫描和计算机断层扫描证实了这一怀疑。彩色编码双功超声进一步检查显示，在临床无症状的腿部发现腘静脉瘤，这可能是肺栓塞的原因。静脉造影证实了这一发现。动脉瘤成功手术治疗后，患者接受了6个月的抗凝治疗。在血栓栓塞的情况下，整个静脉系统都可能受到影响。因此，每当发生肺栓塞时，都应检查外周静脉。
