肘前静脉动脉瘤：外周静脉置管的一种罕见并发症。
Aneurysm of antecubital vein: an unusual complication of peripheral intravenous cannulation.
作者信息
Debnath Debasish, Wallace Stuart, Mylona Evangelia, Myint Fiona
机构信息
Department of Surgery, North Middlesex University Hospital, London, UK.
出版信息
BMC Surg. 2007 Jun 14;7:9. doi: 10.1186/1471-2482-7-9.
BACKGROUND
Intravenous cannulation is a very common procedure. Venous aneurysm secondary to peripheral intravenous cannulation is extremely rare. Moreover, venous aneurysm can mimic other conditions and may confuse the issue.
CASE PRESENTATION
We describe a case of a 45-year-old woman who was referred with the diagnosis of varicose vein of right arm. A history of intravenous cannulation at the same site was noted that raised suspicion. The swelling was compressible and turned out to be a venous aneurysm. The lesion was completely excised. Postoperative recovery was uneventful. Histology findings were in conformity with the preoperative diagnosis.
CONCLUSION
Caution should be exercised in diagnosing varicose vein at a site that bears a history of intravenous cannulation. The case also raises an important issue regarding consent. Should patients undergoing peripheral intravenous cannulation be warned of this rare complication?
背景
静脉插管是一种非常常见的操作。外周静脉插管继发静脉瘤极为罕见。此外，静脉瘤可能会与其他病症相似，从而使问题变得复杂。
病例介绍
我们描述了一名45岁女性的病例，她因右臂静脉曲张被转诊。注意到她在同一部位有静脉插管史，这引起了怀疑。肿胀部位可压缩，结果发现是一个静脉瘤。病变被完全切除。术后恢复顺利。组织学检查结果与术前诊断一致。
结论
在诊断有静脉插管史部位的静脉曲张时应谨慎。该病例还引发了一个关于知情同意的重要问题。接受外周静脉插管的患者是否应该被告知这种罕见的并发症？
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