Ciss A G, Diarra O, Diop Ndoye A, Ndiaye A, Bèye S A, Dieng P A, Kane O, Ndiaye M
Chirurgie thoracique et cardio vasculaire, CHN Fann, BP 5035 Dakar, Sénégal.
Dakar Med. 2008;53(2):131-5.
The aim of this study is to expose a secondary cause of venous insufficiency which surgical treatment.
A 73 old man with a huge aneurism of the right common iliac artery which compressed the left common iliac vein was described. The patient had a unilateral left leg oedema and stasing ulcer. Examinations revealed an abdominal pulsate mass. Echography and T scan showed a right common iliac artery aneurysm and compression of the left iliac vein. Surgery was resected aneurism and replaced vascular prosthesis. After surgery, the unilateral left leg oedema was rapidly regressed and complete stasing ulcer healing.
This case report showed difficult diagnosis and treatment of vascular disease in under development countries.
本研究的目的是揭示静脉功能不全的一个外科治疗的继发原因。
描述了一名73岁男性，患有巨大的右髂总动脉瘤，该动脉瘤压迫左髂总静脉。患者有单侧左腿水肿和淤滞性溃疡。检查发现腹部有搏动性肿块。超声检查和CT扫描显示右髂总动脉瘤和左髂静脉受压。手术切除动脉瘤并置换血管假体。术后，单侧左腿水肿迅速消退，淤滞性溃疡完全愈合。
本病例报告显示了发展中国家血管疾病诊断和治疗的困难。
