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右侧May-Thurner综合征的不典型表现。

Unusual presentation of right-sided May-Thurner syndrome.

作者信息

Nasif Abdullah, Ahmed Amin Mohamed, Al-Embideen Somya, Nazzal Munier, Osman Mohamed, Ahmed Ayman

机构信息

Department of Surgery, the University of Toledo, Toledo, Ohio.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Oct 22;7(4):768-771. doi: 10.1016/j.jvscit.2021.10.005. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.10.005
PMID:34816070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8592832/
Abstract

May-Thurner syndrome commonly presents with left leg swelling. Right-sided venous compression syndromes are rare. We report a 49-year-old gentleman who presented with right lower extremity swelling after leg trauma. He was found to have right distal common iliac vein compression by the overlying right internal iliac artery. He was treated with an endovascular approach with balloon venoplasty and stenting. This is a unique presentation of May-Thurner syndrome variation affecting the right lower extremity with limited description in the literature.

摘要

梅-图二氏综合征通常表现为左腿肿胀。右侧静脉压迫综合征较为罕见。我们报告一例49岁男性,在腿部创伤后出现右下肢肿胀。经检查发现其右髂总静脉远端受到上方右髂内动脉的压迫。他接受了球囊血管成形术和支架置入的血管内治疗方法。这是梅-图二氏综合征变异型累及右下肢的一种独特表现,在文献中的描述有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/a008feb38216/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/2812cf513ad0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/1843d6820388/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/a008feb38216/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/2812cf513ad0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/1843d6820388/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a64/8592832/a008feb38216/gr3.jpg

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引用本文的文献

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2
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3
Seizures, deep vein thrombosis, and pulmonary emboli in a severe case of May-Thurner syndrome: a case report.

本文引用的文献

1
Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling.腰骶部外生骨疣作为髂静脉受压及严重肢体肿胀的罕见原因。
J Vasc Surg Cases Innov Tech. 2019 Nov 22;5(4):529-531. doi: 10.1016/j.jvscit.2019.05.006. eCollection 2019 Dec.
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Diagnosis and Treatment of Nonthrombotic Right Iliac Vein Compression Syndrome.非血栓性右髂静脉压迫综合征的诊断与治疗
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Diagnosis and management of right external iliac vein "sandwich": A rare cause of iliofemoral deep venous thrombosis.
严重梅-特纳综合征病例中出现的癫痫发作、深静脉血栓形成和肺栓塞:一例报告。
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May-Thurner Syndrome and Lymphedema Reconstruction.梅-图二氏综合征与淋巴水肿重建
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右髂外静脉“三明治”的诊断与处理:髂股深静脉血栓形成的罕见原因
J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):314-318. doi: 10.1016/j.jvscit.2019.02.006. eCollection 2019 Sep.
4
Prevalence of May-Thurner Syndrome in Patients with Deep Vein Thrombosis at a Large Medical Referral Center.大型医疗转诊中心深静脉血栓形成患者中梅-图二氏综合征的患病率
Rofo. 2019 Dec;191(12):1107-1117. doi: 10.1055/a-0959-6230. Epub 2019 Jul 4.
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May-Thurner: diagnosis and endovascular management.梅-图二氏综合征:诊断与血管内治疗
Cardiovasc Diagn Ther. 2017 Dec;7(Suppl 3):S159-S164. doi: 10.21037/cdt.2017.10.14.
6
May-Thurner syndrome complicating pregnancy: a report of four cases.合并妊娠的梅-图二氏综合征:四例报告
J Reprod Med. 2014 May-Jun;59(5-6):333-6.
7
May-Thurner syndrome: update and review.梅-图二氏综合征:最新进展与综述
Ann Vasc Surg. 2013 Oct;27(7):984-95. doi: 10.1016/j.avsg.2013.05.001. Epub 2013 Jul 10.
8
Prostatism and May-Thurner syndrome.前列腺增生症与May-Thurner综合征。
Am J Emerg Med. 2013 Feb;31(2):445.e1-2. doi: 10.1016/j.ajem.2012.05.029. Epub 2012 Jun 27.
9
Incidence of and risk factors for iliocaval venous obstruction in patients with active or healed venous leg ulcers.活动期或愈合期静脉性腿部溃疡患者的髂股静脉阻塞的发生率和危险因素。
J Vasc Surg. 2011 May;53(5):1303-8. doi: 10.1016/j.jvs.2010.10.120. Epub 2011 Jan 7.
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Compression of the inferior vena cava by the right iliac artery: a rare variant of May-Thurner syndrome.右髂动脉压迫下腔静脉:罕见的梅特纳综合征变异型。
Cardiovasc Intervent Radiol. 2010 Oct;33(5):1060-3. doi: 10.1007/s00270-009-9671-y. Epub 2009 Aug 13.