Aliotta P J, Lacey S R, Allen J E, Greenfield S P
Department of Urology, State University of New York, Buffalo.
J Urol. 1988 May;139(5):1035-6. doi: 10.1016/s0022-5347(17)42761-3.
We report a case of left iliofemoral vein thrombosis with extension to the inferior vena cava associated with giant right hydronephrosis secondary to ureteropelvic junction obstruction. Surgery revealed marked infrarenal vena caval compression and deviation to the left side caused by the dilated right renal pelvis, with resultant kinking of the origin of the left iliac vein. It is postulated that the reduction in blood flow caused by this compression and distortion predisposed this patient to venous thrombosis.
我们报告一例左髂股静脉血栓形成并延伸至下腔静脉,同时伴有继发于输尿管肾盂连接处梗阻的巨大右肾积水。手术发现,扩张的右肾盂导致明显的肾下腔静脉受压并向左移位,致使左髂静脉起始部扭结。据推测,这种压迫和扭曲导致的血流减少使该患者易患静脉血栓形成。