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右侧髂总动脉瘤伴破裂致双侧下肢深静脉血栓形成和肺栓塞。

Bilateral Deep Vein Thrombosis and Pulmonary Embolism Due to Right Common Iliac Artery Aneurysm with a Contained Rupture.

机构信息

Respiratory Medicine Department, School of Medicine, University of Thessaly, Biopolis (Mezourlo), 41110 Larissa, Greece.

Respiratory Disorders Lab., Faculty of Nursing, University of Thessaly, 41500 Larissa, Greece.

出版信息

Medicina (Kaunas). 2022 Mar 13;58(3):421. doi: 10.3390/medicina58030421.

DOI:10.3390/medicina58030421
PMID:35334597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8953859/
Abstract

Venous thromboembolism (comprising deep venous thrombosis and/or pulmonary embolism) is a common disease, often of multifactorial cause. Focal iliac artery aneurysms are relatively rare, and only a few reports exist in the literature describing patients with venous thromboembolism resulting from venous floe disruption due to iliac artery aneurysm. Thus, we report a case of a 65-year-old male presenting with pulmonary embolism and bilateral deep vein thrombosis associated with a contained rupture of the right common iliac artery aneurysm.

摘要

静脉血栓栓塞症(包括深静脉血栓形成和/或肺栓塞)是一种常见疾病,常为多因素所致。髂动脉局灶性动脉瘤相对少见,仅有少数文献报道过因髂动脉动脉瘤导致静脉栓子破裂而引发静脉血栓栓塞症的病例。因此,我们报告了 1 例 65 岁男性,因右髂总动脉瘤破裂伴有限制性破裂而出现肺栓塞和双侧深静脉血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b0/8953859/875b2c07c655/medicina-58-00421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b0/8953859/875b2c07c655/medicina-58-00421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b0/8953859/875b2c07c655/medicina-58-00421-g001.jpg

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本文引用的文献

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BMC Public Health. 2021 Mar 21;21(1):559. doi: 10.1186/s12889-021-10621-2.
2
Prevalence and risk factors for pulmonary embolism in patients with suspected acute exacerbation of COPD: a multi-center study.疑似 COPD 急性加重患者中肺栓塞的患病率和危险因素:一项多中心研究。
Eur J Intern Med. 2020 Oct;80:54-59. doi: 10.1016/j.ejim.2020.05.006. Epub 2020 May 28.
3
Image in Vascular Medicine. Deep vein thrombosis in lower extremities of an exceptional cause: Isolated internal iliac artery aneurysm and ilio-iliac arteriovenous fistula.
病例报告:并非总是关乎静脉;髂动脉瘤继发双侧梅-图二氏综合征的干预治疗
Front Cardiovasc Med. 2023 Nov 16;10:1279981. doi: 10.3389/fcvm.2023.1279981. eCollection 2023.
血管医学影像。罕见病因导致的下肢深静脉血栓形成:孤立性髂内动脉瘤和髂-髂动静脉瘘。
Vasc Med. 2020 Apr;25(2):194-195. doi: 10.1177/1358863X20907689. Epub 2020 Mar 20.
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CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know.腹盆腔血管压迫综合征的CT成像表现:放射科医生需要了解的内容。
Insights Imaging. 2020 Mar 17;11(1):48. doi: 10.1186/s13244-020-00852-z.
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2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC).2019年欧洲心脏病学会(ESC)与欧洲呼吸学会(ERS)合作制定的急性肺栓塞诊断和管理指南:欧洲心脏病学会(ESC)急性肺栓塞诊断和管理特别工作组。
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Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.编辑推荐——欧洲血管外科学会(ESVS)2019年腹主动脉-髂动脉瘤管理临床实践指南
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