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一名患有急性股青肿且存在May-Thurner解剖结构的患者成功进行了深静脉血栓切除术及溶栓治疗。

Successful thrombectomy and thrombolysis of deep vein thrombosis in a patient with acute phlegmasia cerulea dolens with May-Thurner anatomy.

作者信息

Jensen John, Ladner Joshua, Mann Ryan, Kitley Charles

机构信息

Michigan State University College of Osteopathic Medicine, East Lansing, MI, USA.

Madigan Army Medical Center, Department of Radiology, 9040A Jackson Av, Tacoma, WA 98431 USA.

出版信息

Radiol Case Rep. 2021 Jan 5;16(3):631-637. doi: 10.1016/j.radcr.2020.12.035. eCollection 2021 Mar.

Abstract

Phlegmasia cerulea dolens (PCD) is a rare and important diagnosis to consider in the setting of a painful, swollen, and cyanotic lower extremity. We report a 59-year-old female diagnosed with PCD 3 days status post extended head and neck surgery with additional imaging findings concerning for May-Thurner anatomy. This case presentation is pathognomonic for PCD. Risk factors, pathogenesis, and management are described.

摘要

股青肿是一种罕见但在下肢疼痛、肿胀且发绀情况下需考虑的重要诊断。我们报告一名59岁女性,在接受扩大的头颈手术后3天被诊断为股青肿,并有关于May-Thurner解剖结构的额外影像学表现。该病例表现具有股青肿的特征性。文中描述了危险因素、发病机制及治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a239/7788493/1f7350888042/gr1.jpg

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