Balamane Saad, Brown Peter, Zelt David, Yacob Michael
Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Division of Cardiovascular Surgery, Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
J Vasc Surg Cases Innov Tech. 2021 Oct 2;7(4):677-680. doi: 10.1016/j.jvscit.2021.09.003. eCollection 2021 Dec.
We have described the case of a 26-year-old man who had presented to his primary care physician with persistent, painful varices across his lower abdomen and bilateral tender scrotal varicoceles, which intensified with exercise. Thorough investigations revealed a congenitally atretic right common iliac vein with right-to-left collateralization of the femoral and internal iliac veins. This shunting resulted in the development of suprapubic and pelvic and gonadal varicosities, which provided a critical venous outflow pathway for his right lower extremity. Heightened vigilance is, hence, paramount if our patient requires future abdominal and urologic procedures. Moreover, the present case has highlighted the importance of considering deep system venous anomalies when determining the differential diagnosis for venous diseases.
我们描述了一名26岁男性的病例，他因下腹部持续性疼痛性静脉曲张和双侧阴囊压痛性精索静脉曲张就诊于他的初级保健医生，这些症状在运动时会加重。全面检查发现右侧髂总静脉先天性闭锁，股静脉和髂内静脉出现从右向左的侧支循环。这种分流导致耻骨上、盆腔和性腺静脉曲张的形成，为他的右下肢提供了一条关键的静脉流出途径。因此，如果我们的患者未来需要进行腹部和泌尿外科手术，提高警惕至关重要。此外，本病例突出了在确定静脉疾病的鉴别诊断时考虑深部系统静脉异常的重要性。
