Moloney Brian M, McAnena Peter F, Courtney Donald G, O' Connell AnnaMarie, Curtin William, McCarthy Peter A
Discipline of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland.
Department of Radiology, Galway University Hospital, Saolta University Healthcare Group, Galway, Ireland.
BJR Case Rep. 2017 Aug 29;3(4):20170042. doi: 10.1259/bjrcr.20170042. eCollection 2017.
Deep vein thrombosis (DVT) is a condition classically associated with blood stasis, hypercoagulability or injury to the vasculature. As blood stasis is usually associated with patient immobility, DVT occurrence in young active patients with no underlying haematological conditions is a rarity. An exostosis, also known as osteochondroma, is a cartilage capped lesion. If solitary, they represent low malignant potential and unless symptomatic, they are rarely excised. A 23-year-old, active male, presented to hospital with pain and swelling in the left lower leg. It was a deep, non-radiating pain, exacerbated by exercise. Wells' criteria score for DVT was 2. An ultrasound was performed which identified thrombosis in the superficial femoral, and popliteal veins. Haematological causes of thrombosis were ruled out. X-ray showed a posterior femoral exostosis. It was determined that compression by the exostosis was the cause of the thrombosis. We present a case of a DVT secondary to osteochondroma formation in a young male. Isolated DVT in this setting is uncommon with fewer than five previously reported cases identified in the literature. We also discuss the current literature and management of this rare entity.
深静脉血栓形成（DVT）是一种典型地与血流淤滞、高凝状态或血管损伤相关的病症。由于血流淤滞通常与患者活动减少有关，在没有潜在血液系统疾病的年轻活跃患者中发生DVT的情况较为罕见。外生骨疣，也称为骨软骨瘤，是一种有软骨帽的病变。如果是单发，其恶性潜能较低，除非有症状，很少进行切除。一名23岁的活跃男性因左下肢疼痛和肿胀入院。这是一种深部的、无放射痛，运动时加重。DVT的Wells标准评分为2分。进行了超声检查，发现股浅静脉和腘静脉有血栓形成。排除了血栓形成的血液学原因。X线显示股骨后有外生骨疣。确定外生骨疣压迫是血栓形成的原因。我们报告一例年轻男性因骨软骨瘤形成继发DVT的病例。在这种情况下孤立性DVT并不常见，文献中报道的病例不到五例。我们还讨论了关于这个罕见实体的当前文献及治疗方法。
