Zenati N, Seinturier C, Blaise S
Department of Vascular Medicine, Grenoble-Alpes University Hospital, 38000 Grenoble, France.
Department of Vascular Medicine, Grenoble-Alpes University Hospital, 38000 Grenoble, France.
Rev Med Interne. 2021 Feb;42(2):131-133. doi: 10.1016/j.revmed.2020.08.012. Epub 2020 Nov 6.
Coagulopathy related to venous malformations can be life threatening. This complication is little known and underestimated.
We report the case of a 52-year-old female patient who presented with a left femoral fracture. She had a pre-existing muscular infiltrating venous malformation of the left hip. During surgery, she developed acute disseminated intravascular coagulation. The latter was probably a consequence of both surgery and localized intravascular coagulation that was unknown before the trauma.
It is important to diagnose localized intravascular coagulation in venous malformations, since the risk of disseminated intravascular coagulation can be prevented by anticoagulant therapy.
与静脉畸形相关的凝血病可能危及生命。这种并发症鲜为人知且未得到充分重视。
我们报告一例52岁女性患者，她因左股骨骨折就诊。她既往有左髋部肌肉浸润性静脉畸形。手术期间，她发生了急性弥散性血管内凝血。这可能是手术和创伤前未知的局部血管内凝血共同作用的结果。
诊断静脉畸形中的局部血管内凝血很重要，因为抗凝治疗可预防弥散性血管内凝血的风险。
