Singh Balbir, Bharadwaj Prashant, Bajaj Nitin, Chadha Davinder
Department of Cardiology, Military Hospital (CTC), Pune, Maharashtra, India.
Department of Cardiology, Command Hospital, Udhampur, India.
BMJ Case Rep. 2017 Dec 1;2017:bcr-2017-222217. doi: 10.1136/bcr-2017-222217.
Spontaneous retroperitoneal haematoma (SRH) can be a life-threatening emergency presenting with hypovolaemic shock. SRH has been rarely reported with May-Thurner syndrome (MTS) where it occurs due to rupture of the iliac vein or venous collaterals. We report a case of MTS that presented with deep venous thrombosis of the left lower limb complicated by bilateral pulmonary embolism (PE) and a large pelvic haematoma. The simultaneous occurrence of a large pelvic haematoma and PE offered a therapeutic challenge. Successful endovascular management of the case is discussed in this report.
自发性腹膜后血肿（SRH）可能是一种危及生命的紧急情况，可表现为低血容量性休克。SRH与May-Thurner综合征（MTS）相关的报道很少，MTS中的SRH是由于髂静脉或静脉侧支破裂所致。我们报告一例MTS病例，该病例表现为左下肢深静脉血栓形成，并伴有双侧肺栓塞（PE）和巨大盆腔血肿。巨大盆腔血肿和PE同时出现带来了治疗挑战。本报告讨论了该病例成功的血管内治疗。
