股青肿作为破裂的髂动脉瘤与髂静脉之间瘘管的初始表现。

Hanada Kazumasa, Yamamoto Kota, Akai Takafumi, Taniguchi Ryosuke, Takayama Toshio, Hoshina Katsuyuki

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

J Vasc Surg Cases Innov Tech. 2019 Jan 28;5(1):41-44. doi: 10.1016/j.jvscit.2018.11.004. eCollection 2019 Mar.

Phlegmasia cerulea dolens (PCD) is caused by obstruction of limb venous return that may result in venous gangrene and limb loss. We present a case of a fistula between a ruptured right common iliac artery aneurysm and the left common iliac vein (ilioiliac arteriovenous fistula [AVF]), which initially manifested as left PCD and acute renal failure. Resection of the aneurysm and repair of the AVF immediately improved the PCD and acute renal failure. We should be aware that an iliac AVF might present as PCD and should keep this in mind.

股青肿（PCD）是由肢体静脉回流受阻引起的，可能导致静脉性坏疽和肢体丧失。我们报告一例右侧髂总动脉瘤破裂与左侧髂总静脉之间形成瘘管（髂动静脉瘘[AVF]）的病例，该病例最初表现为左侧股青肿和急性肾衰竭。切除动脉瘤并修复动静脉瘘立即改善了股青肿和急性肾衰竭。我们应该意识到髂动静脉瘘可能表现为股青肿，并应牢记这一点。