Kishi Kazuma, Homma Sakae, Kawabata Masateru, Tsuboi Eiyasu, Narui Koji, Nakatani Tatsuo, Nakata Koichiro
Division of Respiratory Diseases, Toranomon Hospital, Tokyo, Japan.
Respiration. 2002;69(3):269-72. doi: 10.1159/000063632.
Iliac compression syndrome is a clinical condition that occurs as a result of compression of the left common iliac vein by the overlying right common iliac artery. This syndrome most often affects young to middle-aged women, and patients usually have left leg symptoms. We report the unusual case of an 18-year-old male who had pulmonary emboli caused by iliac compression syndrome without leg symptoms. Combined venography and aortography confirmed the diagnosis. The patient was successfully treated with anticoagulants and vena cava filter insertion. Iliac compression syndrome should be considered when pulmonary embolism appears without obvious cause.
髂静脉压迫综合征是一种临床病症，由于上方的右髂总动脉压迫左髂总静脉而发生。该综合征最常影响年轻至中年女性，患者通常有左腿症状。我们报告一例不寻常的病例，一名18岁男性因髂静脉压迫综合征导致肺栓塞，但无腿部症状。静脉造影和主动脉造影联合检查确诊了该疾病。患者通过抗凝治疗和植入腔静脉滤器成功治愈。当出现无明显原因的肺栓塞时，应考虑髂静脉压迫综合征。
