Moraes Frederico Barra de, Camelo Carolina Parreira Ribeiro, Brandão Marcelo Luiz, Fávaro Pedro Ivo, Barbosa Tercília Almeida, Barbosa Raul Carlos
Universidade Federal de Goiás (UFG), Faculdade de Medicina, Goiânia, GO, Brazil.
Rev Bras Ortop. 2016 Sep 28;51(6):716-719. doi: 10.1016/j.rboe.2015.10.014. eCollection 2016 Nov-Dec.
Valve failure with reflux and post-thrombotic syndrome are the factors most commonly correlated with varicose disease. Other rare etiologies can be put forward when these two main causes are ruled out. We report a case in which a young man presented chronic pain in the left tibia, varicose veins in the lower limbs and frequent occurrences of erysipelas. During investigation of the etiology of the varicose veins, radiographs and magnetic resonance imaging of the left leg were requested. These showed images suggestive of an osteolytic lesion in the tibia, but led us to the diagnosis of an intraosseous vein with anomalous drainage. This was confirmed through vascular examinations comprising Doppler venous flow measurement and phlebography. Recognition of this rare intraosseous anomaly is fundamental for proper patient management, but an intraosseous surgical approach is unnecessary.
瓣膜功能不全伴反流和血栓形成后综合征是与静脉曲张疾病最常相关的因素。当排除这两个主要原因时，可以提出其他罕见的病因。我们报告一例年轻男性病例，其表现为左胫骨慢性疼痛、下肢静脉曲张和丹毒频繁发作。在对静脉曲张的病因进行调查期间，要求对左腿进行X线片和磁共振成像检查。这些检查显示的图像提示胫骨有溶骨性病变，但引导我们诊断为骨内静脉引流异常。这通过包括多普勒静脉血流测量和静脉造影在内的血管检查得以证实。认识到这种罕见的骨内异常对于正确的患者管理至关重要，但不需要采用骨内手术方法。
