单侧腿部肿胀：深静脉血栓形成？
Unilateral leg swelling: deep vein thrombosis?
作者信息
Bekou V, Galis D, Traber J
机构信息
Venenklinik Bellevue, Kreuzlingen, Kreuzlingen, Switzerland.
出版信息
Phlebology. 2011 Feb;26(1):8-13. doi: 10.1258/phleb.2009.009055. Epub 2010 Sep 29.
OBJECTIVE
We present two cases of a unilateral leg swelling of unusual aetiology as a reminder to the physician to consider causes of unilateral leg swelling other than deep vein thrombosis, lymphoedema and infectious diseases.
CASE REPORTS
Both of our patients developed progressive leg swelling. Subsequent investigation revealed a lesion compressing the femoral vein. At exploration this was found to be a ganglion cyst. In one patient surgical removal of the cyst and in the other puncture of the cyst and instillation of steroid resulted in prompt resolution of the swelling.
CONCLUSION
Venous compression due to external cystic lesions, although rare, is recognized. In strange cases this differential diagnosis should also be taken into account. Therapeutic options are the surgical removal or puncture of the cyst.
目的
我们报告两例病因不寻常的单侧腿部肿胀病例，以提醒医生考虑除深静脉血栓形成、淋巴水肿和感染性疾病之外的单侧腿部肿胀原因。
病例报告
我们的两名患者均出现渐进性腿部肿胀。随后的检查发现有一个病变压迫股静脉。手术探查时发现是一个腱鞘囊肿。一名患者囊肿手术切除，另一名患者囊肿穿刺并注入类固醇后肿胀迅速消退。
结论
外部囊性病变导致的静脉压迫虽罕见，但已得到确认。在情况不明的病例中，也应考虑这一鉴别诊断。治疗选择是囊肿手术切除或穿刺。
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