Yamamoto Yohei, Kudo Toshifumi, Ichinose Tsuyoshi, Nishizawa Masato, Toyofuku Takahiro
Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Ann Vasc Surg. 2019 Apr;56:355.e1-355.e6. doi: 10.1016/j.avsg.2018.08.102. Epub 2018 Nov 26.
Aneurysms of the iliac veins are very rare but are potentially fatal due to their potential to cause thromboembolic complications or even rupture. We herein report an unusual case of bilateral external iliac venous aneurysms in a 50-year-old male long-distance runner who presented with bilateral groin pain. The aneurysms were successfully treated with tangential aneurysmectomy with lateral venorrhaphy. Possible causes and management of iliac venous aneurysms are also discussed in this article.
髂静脉动脉瘤非常罕见，但因其有可能引发血栓栓塞并发症甚至破裂，所以具有潜在的致命性。我们在此报告一例不同寻常的病例，一名50岁的男性长跑运动员双侧髂外静脉动脉瘤，表现为双侧腹股沟疼痛。通过切线状动脉瘤切除术加外侧静脉缝合术成功治疗了动脉瘤。本文还讨论了髂静脉动脉瘤的可能病因及处理方法。
