Niang E H, Ndoye O, Diop B B, Ba S A, Badiane M
Service de Radiologie CHU de Dakar.
Dakar Med. 2005;50(3):208-10.
The authors bring back the observation of a 48-year-old woman having induced a big painful left calf. The dread os a thrombophlebitis drew away the strarting of an anticoagulative treatment. This treatment was later supended in front of the putting in an a bvious place in echo-Doppler of a haematoma of the calf linked to a normal side of venous fluxes. This table made recall a syndrome of "coup de fouet". It is about a desease characterised by the unpromted rupture of a deep vein of the calf accomplishing a haematoma. It happens in repose or in step as at our patient. It posed a problem of differential diagnosis with a thrombophlebitis of lower limb. Evolution was favourable under treatment linking pause, an anti inflammatory and the haematoma paracentesis under echographique guidance .
作者回顾了一名48岁女性引发左小腿剧痛的病例。对血栓性静脉炎的恐惧使得抗凝治疗延迟开始。后来，在超声多普勒检查明确显示小腿血肿且静脉血流正常时，该治疗被暂停。此病例让人想起“鞭打综合征”。这是一种以小腿深部静脉自发破裂形成血肿为特征的疾病。它可在休息时或行走时发生，就像我们的患者一样。它引发了与下肢血栓性静脉炎的鉴别诊断问题。在采取暂停、抗炎治疗以及超声引导下血肿穿刺引流等治疗措施后，病情好转。
