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右髂外静脉“三明治”的诊断与处理:髂股深静脉血栓形成的罕见原因

Diagnosis and management of right external iliac vein "sandwich": A rare cause of iliofemoral deep venous thrombosis.

作者信息

Tai Elizabeth, Jaberi Arash, Oreopoulos George D, Forbes Thomas L, Tan Kong Teng, Mafeld Sebastian

机构信息

Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):314-318. doi: 10.1016/j.jvscit.2019.02.006. eCollection 2019 Sep.

Abstract

Several anatomic abnormalities predispose patients to iliofemoral deep venous thrombosis, the most common of which is compression of the left iliac vein between the right common iliac artery and lumbar vertebrae, or May-Thurner syndrome. Other areas of venous compression can occur but are rare. This case report describes the presentation, diagnosis, and management of a patient with compression of the right iliac vein "sandwiched" between the right internal and external iliac arteries. After treatment, the patient demonstrated significant improvement in symptoms.

摘要

几种解剖学异常使患者易患髂股深静脉血栓形成,其中最常见的是左髂静脉在右髂总动脉和腰椎之间受到压迫,即梅-图二氏综合征。其他静脉受压部位也可能发生,但较为罕见。本病例报告描述了一名右髂静脉被右髂内动脉和髂外动脉“夹在中间”受压患者的临床表现、诊断和治疗情况。治疗后,患者症状有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed93/6614602/4f932eb0b89b/gr1.jpg

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