Toratani Mizuho, Hayashi Akiko, Nishiyama Naoki, Nakamura Hidehiko, Chida Ryuji, Komatsu Takaaki, Nakahara Shiro, Kobayashi Sayuki, Taguchi Isao
Department of Cardiology, Dokkyo Medical University Koshigaya Hospital, Japan.
Intern Med. 2017;56(9):1053-1055. doi: 10.2169/internalmedicine.56.7405. Epub 2017 May 1.
A 45-year-old man complained of swelling of the left side of his neck and left upper limb. Ultrasonography and enhanced computed tomography (CT) revealed thrombosis of the left internal jugular, subclavian, and brachiocephalic vein. Based on various examinations, the patient was diagnosed with idiopathic venous thrombosis early in his clinical course. There were no findings to suggest malignancy or abnormal coagulability. However, two months after the start of treatment, the patient was diagnosed with gastric cancer. Despite the presence of Trousseau syndrome, treatment with edoxaban (an oral anticoagulant), reduced the swelling dramatically without any bleeding complications.
一名45岁男性主诉左侧颈部和左上肢肿胀。超声检查和增强计算机断层扫描（CT）显示左颈内静脉、锁骨下静脉和头臂静脉血栓形成。基于各项检查，该患者在临床病程早期被诊断为特发性静脉血栓形成。未发现提示恶性肿瘤或凝血异常的迹象。然而，治疗开始两个月后，该患者被诊断出患有胃癌。尽管存在特鲁索综合征，但使用依度沙班（一种口服抗凝剂）治疗后，肿胀明显减轻，且未出现任何出血并发症。
