表现为深静脉血栓形成的下腔静脉瘤——一例报告
Inferior vena cava aneurysm presenting as deep vein thrombosis - A case report.
作者信息
Gusani Rajat, Shukla Radha, Kothari Sawan, Bhatt Ravi, Patel Jayesh
机构信息
Shree Krishna Hospital, India.
H M Patel Centre for Medical Care & Education, India.
出版信息
Int J Surg Case Rep. 2016;29:123-125. doi: 10.1016/j.ijscr.2016.10.023. Epub 2016 Oct 15.
INTRODUCTION
Throughout history, venous aneurysms have seldom been heard of or even reported, especially since they have no specific symptoms unless complicated by their various manifestations, one being deep vein thrombosis.
PRESENTATION OF CASE
Here we report a case of a 33-year-old male patient who presented with idiopathic Deep vein thrombosis, and upon further investigation was found to have an IVC Aneurysm.
DISCUSSION
Thrombosis due to flow dynamics resulting in venous stasis is more prominent in Type II- IV IVC aneurysm, making their presentation as deep vein thrombosis common. Management of IVC aneurysm is highly controversial, with options of both medical and surgical interventions, each with its own merits and demerits.
CONCLUSION
Therefore, it is important to include IVC aneurysm as a differential when patients present with unprovoked DVT.
引言
纵观历史，静脉动脉瘤很少被听闻甚至报道，尤其是因为它们没有特定症状，除非因各种表现而出现并发症，其中之一就是深静脉血栓形成。
病例介绍
我们在此报告一例33岁男性患者，该患者表现为特发性深静脉血栓形成，进一步检查发现患有下腔静脉动脉瘤。
讨论
由于血流动力学导致静脉淤滞而形成的血栓在II-IV型下腔静脉动脉瘤中更为突出，这使得它们常表现为深静脉血栓形成。下腔静脉动脉瘤的治疗极具争议性，有药物和手术干预两种选择，每种都有其优缺点。
结论
因此，当患者出现不明原因的深静脉血栓形成时，将下腔静脉动脉瘤作为鉴别诊断很重要。
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