Sato Shinichi, Takahashi Masato, Takahashi Tetsu
Oral and Maxillofacial Surgery, Japan Community Health Care Organization Sendai Hospital, 3-16-1 Tsutsumimachi, Aoba-ku, Sendai 981-8501, Japan.
Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry, 4-1, Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan.
Case Rep Dent. 2020 Dec 27;2020:6694402. doi: 10.1155/2020/6694402. eCollection 2020.
A 66-year-old female patient was admitted to the orthopedic department due to a left femoral neck fracture. She received perioperative oral management prior to femoral head replacement. Laboratory blood tests indicated an elevated D-dimer level, which suggested the presence of a venous malformation. Computed tomography, magnetic resonance imaging, and short TI inversion recovery indicated the presence of multiple phleboliths medial to the right mandibular ramus. No swelling, redness, or salivary colic pain was observed. Owing to the absence of clinical symptoms, the patient elected to undergo observation of the lesion, as opposed to surgical treatment.
一名66岁女性患者因左侧股骨颈骨折入住骨科。在进行股骨头置换术前,她接受了围手术期的口服治疗。实验室血液检查显示D - 二聚体水平升高,提示存在静脉畸形。计算机断层扫描、磁共振成像和短TI反转恢复序列显示右下颌支内侧存在多个静脉石。未观察到肿胀、发红或唾液绞痛。由于没有临床症状,患者选择对病变进行观察,而非手术治疗。