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一名老年男性的梅-图二氏综合征

May-Thurner Syndrome in an Elderly Man.

作者信息

Thangjui Sittinun, Trongtorsak Angkawipa, Zoltick Jerel M, Doyle Adam

机构信息

Internal Medicine, Bassett Healthcare Network, Cooperstown, USA.

Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, USA.

出版信息

Cureus. 2022 Jan 25;14(1):e21611. doi: 10.7759/cureus.21611. eCollection 2022 Jan.

DOI:10.7759/cureus.21611
PMID:35228968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8872673/
Abstract

May-Thurner syndrome (MTS) is a rare cause of deep vein thrombosis (DVT). This diagnosis is seldomly included in the differential diagnosis. The disease is defined as extraluminal iliac vein compression by the arterial system against bony structures in the iliocaval area. This occurs more commonly on the left side due to the unfortunate position of the proximal left iliac vein that runs between the right common iliac artery and spine. MTS is commonly presented in younger female patients with left unilateral proximal DVT. However, MTS is rarely reported in elderly patients. We present a case of a 69-year-old man with a diagnosis of MTS and further management with a venous stent.

摘要

梅-图二氏综合征(MTS)是深静脉血栓形成(DVT)的一种罕见病因。这种诊断很少被纳入鉴别诊断。该疾病被定义为动脉系统对髂腔区域骨性结构造成的髂外静脉受压。由于左髂总静脉近端位置不佳,走行于右髂总动脉和脊柱之间,这种情况更常见于左侧。MTS常见于患有左侧单侧近端DVT的年轻女性患者。然而,老年患者中MTS的报道很少。我们报告一例69岁男性诊断为MTS并接受静脉支架进一步治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba9/8872673/7faeb70c1f47/cureus-0014-00000021611-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba9/8872673/922ed2ba9c05/cureus-0014-00000021611-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba9/8872673/7faeb70c1f47/cureus-0014-00000021611-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba9/8872673/922ed2ba9c05/cureus-0014-00000021611-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba9/8872673/7faeb70c1f47/cureus-0014-00000021611-i02.jpg

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本文引用的文献

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Iliac vein compression: epidemiology, diagnosis and treatment.髂静脉受压:流行病学、诊断与治疗
Vasc Health Risk Manag. 2019 May 9;15:115-122. doi: 10.2147/VHRM.S203349. eCollection 2019.
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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
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The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins.盆腔静脉血栓形成主要以左侧发病为主的原因。
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