一名30岁患者左头静脉内似珍珠样可移动的静脉石
A Pearl-Like 30-Year-Old Moving Phlebolith in the Left Cephalic Vein.
作者信息
Kotsis Thomas, Christoforou Panagitsa
机构信息
Vascular Division, 2nd Department of Surgery, "Aretaieion" Hospital, University of Athens School of Medicine, Athens, Greece.
Vascular Division, 2nd Department of Surgery, "Aretaieion" Hospital, University of Athens School of Medicine, Athens, Greece.
出版信息
Ann Vasc Surg. 2019 Jul;58:382.e7-382.e10. doi: 10.1016/j.avsg.2018.10.055. Epub 2019 Feb 4.
BACKGROUND
Phleboliths are a common finding, especially in the pelvic veins. There are generally multiple thrombi associated with vascular malformations, trauma, or iatrogenic or noniatrogenic intravenous foreign bodies.
METHODS
Herein, we report a unique case of a single moving phlebolith in the cephalic vein of a 65-year-old man, not associated with any vascular lesion, trauma, or foreign body.
RESULTS
Too many cases of phleboliths have been reported in the literature since 1948, referred to vascular disorders, injuries, or foreign bodies. Only this work we are presenting refers to a phlebolith not associated with other vascular, pathological, or traumatic lesion.
CONCLUSION
Phleboliths not associated with other vascular lesions are not common and less rare when not associated with injuries or iatrogenic interventions. Clinicians should be aware of the existence of this pathology and include it as the differential diagnosis of various pathological conditions.
背景
静脉石是一种常见现象，尤其是在盆腔静脉中。通常有多个血栓与血管畸形、创伤或医源性或非医源性静脉异物相关。
方法
在此，我们报告一例独特病例，一名65岁男性的头静脉中有单个可移动的静脉石，与任何血管病变、创伤或异物均无关。
结果
自1948年以来，文献中报道了太多与血管疾病、损伤或异物相关的静脉石病例。我们展示的这项研究是唯一一篇涉及与其他血管、病理或创伤性病变无关的静脉石的文献。
结论
与其他血管病变无关的静脉石并不常见，在与损伤或医源性干预无关时则不那么罕见。临床医生应意识到这种病理情况的存在，并将其纳入各种病理状况的鉴别诊断中。
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