Chun Sangwook, Son Joung Woo, Ryu Jae-Wook
Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea.
Korean J Thorac Cardiovasc Surg. 2020 Jun 5;53(3):147-149. doi: 10.5090/kjtcs.2020.53.3.147.
A 36-year-old man presented to the hospital with protruding blood vessels in his left lower leg accompanied by cramping. An ultrasonographic examination of the leg revealed focal reflux without truncal vein reflux. During phlebectomy, the varix was found to be connected to the intraosseous vein through a tibial opening. Postoperative computed tomography and magnetic resonance imaging showed an osteolytic lesion in the tibial shaft and an intraosseous vascular anomaly. The patient was discharged without complications and scheduled for periodic follow-ups. This young man's varicose vein seemed to be from a tibial intraosseous vascular anomaly, which is extremely rare.
一名36岁男性因左小腿血管突出并伴有痉挛前来医院就诊。对该腿部进行超声检查发现有局灶性反流，但无主干静脉反流。在静脉切除术过程中，发现静脉曲张通过一个胫骨开口与骨内静脉相连。术后计算机断层扫描和磁共振成像显示胫骨干有溶骨性病变以及骨内血管异常。患者无并发症出院，并安排了定期随访。这名年轻男性的静脉曲张似乎源于极为罕见的胫骨骨内血管异常。
