Murakami Masanori, Nagase Takashi, Miyauchi Fumihisa, Kobayashi Seiki
Department of Surgery, Japan Organization of Occupational Health and Safety Ehime Rosai Hospital, Nihama, Ehime, Japan.
Department of Surgery, Japan Organization of Occupational Health and Safety Ehime Rosai Hospital, Nihama, Ehime, Japan.
Ann Vasc Surg. 2018 May;49:313.e17-313.e19. doi: 10.1016/j.avsg.2017.10.038. Epub 2018 Feb 15.
A congenital abnormality of the inferior vena cava is said to be an anatomical risk factor for venous thromboembolism. In this report, we present a case of a patient with a left duplicated common iliac vein who developed a venous thromboembolism following total abdominal hysterectomy and bilateral salpingo-oophorectomy. Only 2 items were risk factors for thromboembolism: age of ≥40 years and open surgery duration of ≥30 min; no congenital abnormalities of the inferior vena cava or thrombotic factors were observed. Thus, it was suspected that the duplicated common iliac vein could have caused the venous thromboembolism.
下腔静脉先天性异常被认为是静脉血栓栓塞的一个解剖学危险因素。在本报告中，我们介绍了一例左髂总静脉重复的患者，该患者在全腹子宫切除术和双侧输卵管卵巢切除术后发生了静脉血栓栓塞。血栓栓塞的危险因素仅有两项：年龄≥40岁和开放手术时间≥30分钟；未观察到下腔静脉先天性异常或血栓形成因素。因此，怀疑重复的髂总静脉可能导致了静脉血栓栓塞。
