Akingbola Olugbenga A, Shar Basil, Singh Dinesh, Frieberg Edwin, Petrescu Matei
From the Departments of *Pediatrics, and †Radiology, Tulane University Health Sciences Center, New Orleans, LA.
Pediatr Emerg Care. 2014 Feb;30(2):108-10. doi: 10.1097/PEC.0000000000000066.
Superior ophthalmic vein thrombosis (SOVT) usually results from inflammatory, infectious, or malignant causes. This case describes a 2-year-old boy with severe prolapsing chemosis and proptosis due to thrombosis of the right superior ophthalmic vein resulting from midfacial and right orbital fractures 1 week after the initial trauma. Magnetic resonance imaging and internal carotid artery angiogram are essential in the diagnosis of SOVT. The literature on issues surrounding this case was reviewed with emphasis on the diagnostic evaluation, differential diagnoses, and management of posttraumatic SOVT.
眼上静脉血栓形成(SOVT)通常由炎症、感染或恶性病因引起。本病例描述了一名2岁男孩,在初次外伤1周后,因面中部和右侧眼眶骨折导致右侧眼上静脉血栓形成,出现严重的结膜脱垂和眼球突出。磁共振成像和颈内动脉血管造影对SOVT的诊断至关重要。本文回顾了围绕该病例的相关文献,重点关注创伤后SOVT的诊断评估、鉴别诊断和治疗。