Fanshawe A E, Hamilton H E C, Constantinou J
Barnet General Hospital, Royal Free London NHS Foundation Trust, Wellhouse Lane, Barnet EN5 3DJ, UK.
J Surg Case Rep. 2018 May 29;2018(5):rjy115. doi: 10.1093/jscr/rjy115. eCollection 2018 May.
Iliac vein aneurysms are extremely rare, even amongst vein aneurysms. We discuss the case of a 26-year-old man with an external iliac vein aneurysm, likely secondary to iatrogenic vascular trauma in the neonatal period. It is the first reported case of an iliac vein aneurysm presenting with lower urinary tract symptoms. Attempts at endovenous management were unsuccessful and therefore the patient underwent open aneurysmectomy. A PubMed literature search revealed a total of nine case reports of iliac vein aneurysms published in English since 2011. We discuss the aetiology, presentation, investigation and management of iliac vein aneurysms and compare to our own case.
髂静脉动脉瘤极为罕见,即便在静脉动脉瘤中也是如此。我们讨论了一例26岁男性患者,其患有髂外静脉动脉瘤,可能继发于新生儿期的医源性血管创伤。这是首例报告的以尿路症状为表现的髂静脉动脉瘤病例。静脉内治疗尝试未成功,因此患者接受了开放性动脉瘤切除术。一项PubMed文献检索显示,自2011年以来共有9例英文发表的髂静脉动脉瘤病例报告。我们讨论了髂静脉动脉瘤的病因、表现、检查及治疗,并与我们自己的病例进行比较。