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嵌顿性输尿管结石导致髂股静脉血栓形成：首例报道病例。

Impacted ureteric stone causing iliofemoral vein thrombosis: The first reported case.

作者信息

Al Kadum Hassan Mohammed Abed, Hama Ghareeb Ali Rawa, Ahmed Okba Fathy, Kakamad Fahmi H, Mahmood Toffeq Hewa

机构信息

Sulaymaniyah, Surgical Teaching Hospital, Urology Department, Iraq.

Sulaymaniyah, Surgical Teaching Hospital, Urology Department, Iraq.

出版信息

Int J Surg Case Rep. 2018;53:147-150. doi: 10.1016/j.ijscr.2018.10.065. Epub 2018 Oct 31.

DOI:10.1016/j.ijscr.2018.10.065
PMID:30396126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6216091/
Abstract

INTRODUCTION

Extrinsic compression with resulting obstruction of the iliac veins is recognized as a crucial cause of deep vein thrombosis (DVT). We report a case of impacted ureteric stone causing DVT.

CASE REPORT

A 65-year-old man presented with left lower limb swelling that diagnosed and treated as extensive DVT. Further evaluation revealed incidental left severe hydroureteronephrosis and impacted ureteric stone compressing iliac vessels. Immediate percutaneous nephrostomy done followed by left ureterolithotripsy 6 weeks later.

DISCUSSION

several iliofemoral venous thromboses have been reported due to extrinsic compression by various pathologies, but to best of our knowledge, this is the 1st report of the impacted ureteric stone causing life-threatening proximal DVT.

CONCLUSION

Isolated unilateral iliofemoral DVT may raise the suspicion of pelvic pathology including ureteric stone.

摘要

引言

髂静脉受到外部压迫并导致阻塞被认为是深静脉血栓形成（DVT）的一个关键原因。我们报告一例输尿管结石嵌顿导致深静脉血栓形成的病例。

病例报告

一名65岁男性因左下肢肿胀就诊，被诊断为广泛性深静脉血栓形成并接受治疗。进一步评估发现患者伴有左侧严重肾盂积水和输尿管结石嵌顿，压迫髂血管。立即进行了经皮肾造瘘术，6周后进行了左侧输尿管碎石术。

讨论

已有多篇报道称各种病变导致外部压迫引起髂股静脉血栓形成，但据我们所知，这是第一例输尿管结石嵌顿导致危及生命的近端深静脉血栓形成的报告。

结论

孤立性单侧髂股深静脉血栓形成可能提示包括输尿管结石在内的盆腔病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/1b4d119fec68/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/cc44d588c4ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/52572be6250e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/1b4d119fec68/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/cc44d588c4ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/52572be6250e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7149/6216091/1b4d119fec68/gr3.jpg

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