异物导致浅表静脉血栓形成及随后的肺栓塞：一例报告
Foreign body causing superficial venous thrombosis and subsequent pulmonary embolism: a case report.
作者信息
Lebon Marion, Ancedy Yann, Boccara Franck, Cohen Ariel
机构信息
Department of Cardiology, APHP, Hôpital Saint-Antoine, Hôpitaux de l'Est Parisien, Service de Cardiologie, Université Pierre et Marie Curie (UPMC), Sorbonne Universités, 184, rue du faubourg saint Antoine, Paris Cedex 12, France.
INSERM, Department UMR s938, Hôpital Saint-Antoine, 184, rue du Faubourg Saint-Antoine, Paris, France.
出版信息
Eur Heart J Case Rep. 2018 Nov 23;2(4):yty125. doi: 10.1093/ehjcr/yty125. eCollection 2018 Dec.
BACKGROUND
Superficial venous thrombosis (SVT) is common, but often perceived to be a non-serious condition. This pathology should not be overlooked as it can lead to complications that may require anticoagulation. We present a case of SVT complicated by pulmonary embolism (PE) revealing an unexpected cause.
CASE SUMMARY
A 41-year-old woman was admitted to the emergency department for chest pain and intense sudden pain of the left groin, revealing an extended great saphenous SVT associated with a PE. Further investigation showed that the thrombosis was caused by a sewing needle located between the superficial femoral artery and the femoral vein. Successful extraction was performed in a vascular surgery unit.
DISCUSSION
Superficial venous thrombosis can be associated with deep venous thrombosis and PE, and can be caused by local inflammation, direct compression, and foreign bodies. These aetiologies should be investigated if no evident cause to SVT is found.
背景
浅静脉血栓形成（SVT）很常见，但人们通常认为它不是一种严重的病症。这种病理情况不应被忽视，因为它可能导致需要抗凝治疗的并发症。我们报告一例并发肺栓塞（PE）的浅静脉血栓形成病例，揭示了一个意想不到的病因。
病例摘要
一名41岁女性因胸痛和左腹股沟剧烈突发疼痛入住急诊科，检查发现为广泛的大隐静脉浅静脉血栓形成并伴有肺栓塞。进一步检查显示，血栓形成是由位于股浅动脉和股静脉之间的一根缝纫针引起的。在血管外科病房成功取出了缝纫针。
讨论
浅静脉血栓形成可能与深静脉血栓形成和肺栓塞相关，可由局部炎症、直接压迫和异物引起。如果未发现浅静脉血栓形成的明显病因，则应调查这些病因。
Zotero 插件