Marret O, Gouëffic Y, Pistorius M A, Patra P, Chaillou P
Service de Chirurgie Vasculaire, Hôpital G et R Laënnec, 44035 Nantes, France.
Ann Vasc Surg. 2001 Nov;15(6):696-8. doi: 10.1007/s10016-001-0014-y.
This report describes an exceptional case of popliteal artery thrombosis secondary to exostosis of the superior extremity of the superior tibia in a young adult. Correct diagnosis was made during re-operation for recurrent thrombosis. Surgical treatment consisted of resection of the bony tumor and venous bypass to reestablish arterial continuity. Femoropopliteal vascular complications of exostosis are rare, with most cases involving arterial aneurysms or false aneurysms. Differential diagnosis in our young patient took into account the other causes of popliteal thrombosis: entrapped popliteal artery, adventitious cyst, fibrodysplasia, and juvenile arteriopathy. In patients with major functional disability, operative treatment is recommended to remove the bony abnormality and repair the arterial lesion.
本报告描述了一例年轻成人因胫骨上端骨疣继发腘动脉血栓形成的特殊病例。在因复发性血栓形成进行再次手术时做出了正确诊断。手术治疗包括切除骨肿瘤和进行静脉搭桥以重建动脉连续性。骨疣的股腘血管并发症罕见，大多数病例涉及动脉瘤或假性动脉瘤。对我们这位年轻患者的鉴别诊断考虑了腘静脉血栓形成的其他原因：腘动脉受压、滑膜囊肿、纤维发育异常和青少年动脉病。对于有严重功能障碍的患者，建议进行手术治疗以去除骨异常并修复动脉病变。
