单侧腿部肿胀病例：深静脉血栓形成的疑似病例。
Case of unilateral leg swelling: a DVT mimic.
作者信息
Kwok Fiona Y H, Zaya Shehnila, Moorchilot Ravisankar, Shah Asim
机构信息
Queen's Medical Centre, Nottingham, UK.
Geriatric Medicine, Queen's Medical Centre, Nottingham, UK.
出版信息
BMJ Case Rep. 2018 May 18;2018:bcr-2017-221651. doi: 10.1136/bcr-2017-221651.
Abstract
A 68-year-old woman with known metastatic renal cell carcinoma presented with an acutely swollen right leg. In between the two sessions of palliative radiotherapy to the right hip, she also had right hip modified Harrington procedure for tumour resection with hip replacement. Initial clinical evaluation raised the suspicion of right leg deep vein thrombosis (DVT). However, DVT was excluded and further investigations revealed stenosis of the right external and common iliac veins, likely secondary to radiotherapy.
摘要
一名68岁患有转移性肾细胞癌的女性，出现右腿急性肿胀。在对右髋部进行两期姑息性放疗期间，她还接受了右髋部改良哈灵顿手术以切除肿瘤并进行髋关节置换。初步临床评估怀疑为右腿深静脉血栓形成（DVT）。然而，DVT被排除，进一步检查发现右髂外静脉和髂总静脉狭窄，可能继发于放疗。
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