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本文引用的文献

1
Superficial and deep vein thrombosis associated with congenital absence of the infrahepatic inferior vena cava in a young male patient.一名年轻男性患者出现与先天性肝下下腔静脉缺如相关的浅静脉和深静脉血栓形成。
Ann Vasc Surg. 2011 Jul;25(5):697.e1-4. doi: 10.1016/j.avsg.2011.02.027.
2
Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature.下腔静脉发育不全和深静脉血栓形成：10 例患者及文献复习。
Vasc Med. 2010 Dec;15(6):451-9. doi: 10.1177/1358863X10391355.
3
Anomalies of the inferior vena cava in patients with iliac venous thrombosis.髂静脉血栓形成患者的下腔静脉异常
Ann Intern Med. 2002 Jan 1;136(1):37-41. doi: 10.7326/0003-4819-136-1-200201010-00009.
4
Congenital absence of the inferior vena cava: a rare risk factor for idiopathic deep-vein thrombosis.先天性下腔静脉缺如：特发性深静脉血栓形成的罕见危险因素。
Lancet. 2001 Feb 10;357(9254):441. doi: 10.1016/S0140-6736(00)04010-1.

显著缺失：双侧髂静脉血栓形成的潜在原因——下腔静脉缺如

An Eminent Absence: Agenesis of Inferior Vena Cava Underlying Bilateral Iliac Vein Thrombosis.

作者信息

Protti Giorgia, Elia Fabrizio, Bosco Francesca, Aprà Franco

机构信息

High Dependency Unit, San Giovanni Bosco Hospital, Torino, Italy.

出版信息

Eur J Case Rep Intern Med. 2020 Oct 22;7(12):001999. doi: 10.12890/2020_001999. eCollection 2020.

DOI:10.12890/2020_001999
PMID:33457358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7806304/
Abstract

UNLABELLED

Among thrombophilic risk factors for deep venous thrombosis (DVT), agenesis of the inferior vena cava (AIVC) is very rare, but it must be considered in specific settings. Here, we present the case of an 18-year-old woman who was admitted to the Emergency Department with swelling and pain of her left leg. Clinical examination and ultrasonography detected extensive proximal DVT of the left leg. After attempted mechanical thrombectomy failed, an abdominal CT scan was obtained, which demonstrated bilateral thrombosis of the iliac-femoral axis in the context of congenital AIVC.

LEARNING POINTS

Agenesis of the inferior vena cava is a rare risk factor for deep venous thrombosis.Agenesis of the inferior vena cava requires lifetime follow-up and treatment.Idiopathic deep venous thrombosis, especially in young patients, requires additional diagnostic investigation that considers congenital anomalies.

摘要

未标注

在下腔静脉发育不全（AIVC）是深静脉血栓形成（DVT）的血栓形成风险因素中，这种情况非常罕见，但在特定情况下必须予以考虑。在此，我们报告一例18岁女性因左腿肿胀和疼痛入住急诊科的病例。临床检查和超声检查发现左腿广泛近端深静脉血栓形成。在尝试机械性血栓切除术失败后，进行了腹部CT扫描，结果显示在先天性下腔静脉发育不全的情况下双侧髂股轴血栓形成。

学习要点

下腔静脉发育不全是深静脉血栓形成的罕见风险因素。下腔静脉发育不全需要终身随访和治疗。特发性深静脉血栓形成，尤其是在年轻患者中，需要进行额外的诊断性检查以考虑先天性异常。