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复发性血尿提示下腔静脉肾下段缺如。

Recurring hematuria revealing absence of infrarenal segment of the inferior vena cava.

作者信息

Louagé Fabian, Moradi Massoud, Vanrossomme Axel

机构信息

Faculty of Medicine, Université Libre de Bruxelles, Route de Lennik 808, 1070 Bruxelles, Belgium.

Department of Radiology, C.H.U. de Charleroi, Chaussée de Bruxelles 140, 6042 Charleroi, Belgium.

出版信息

Radiol Case Rep. 2022 Aug 27;17(11):4083-4086. doi: 10.1016/j.radcr.2022.07.112. eCollection 2022 Nov.

DOI:10.1016/j.radcr.2022.07.112
PMID:36065243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9440369/
Abstract

Abnormal development of the inferior vena cava is a relatively rare condition. We report the case of a 47-year-old woman presenting with an absent infrarenal segment of the inferior vena cava revealed by recurring episodes of gross hematuria. This entity probably resulted from perinatal acquired thrombosis rather than from a congenital anomaly and is associated with compensatory dilation of collateral venous pathways. This extremely rare hemorrhagic presentation is presumably caused by rupture of small dilated renal or vesical veins. Ignorance of this atypical presentation can lead to erroneous or delayed diagnoses.

摘要

下腔静脉发育异常是一种相对罕见的病症。我们报告了一例47岁女性病例，该患者反复出现肉眼血尿，检查发现其肾下段下腔静脉缺如。这种情况可能是围产期获得性血栓形成所致，而非先天性异常，并且与侧支静脉通路的代偿性扩张有关。这种极为罕见的出血表现可能是由扩张的肾静脉或膀胱静脉小分支破裂引起的。对这种非典型表现的忽视可能导致错误诊断或诊断延误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/c3df7461d009/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/a6e318cde70f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/be5487ed165d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/4198e4890bdc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/c3df7461d009/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/a6e318cde70f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/be5487ed165d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/4198e4890bdc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af21/9440369/c3df7461d009/gr4.jpg

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本文引用的文献

1
Anomalous development of the inferior vena cava: Case reports of agenesis and hypoplasia.下腔静脉异常发育：缺如和发育不全的病例报告。
Radiol Case Rep. 2018 Jul 5;13(4):895-903. doi: 10.1016/j.radcr.2018.04.018. eCollection 2018 Aug.
2
The Typical Presentation Spectrum of Deep Vein Thrombosis Associated with Inferior Vena Cava Malformations.下腔静脉畸形相关深静脉血栓形成的典型表现谱
Thrombosis. 2016;2016:4965458. doi: 10.1155/2016/4965458. Epub 2016 Jul 10.
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[Segmental and congenital absence of the inferior vena cava: a rare cause of hematuria, report of a case].
[节段性及先天性下腔静脉缺如：血尿的罕见病因，一例报告]
Pan Afr Med J. 2015 Apr 14;20:356. doi: 10.11604/pamj.2015.20.356.5978. eCollection 2015.
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Elevated risk of thrombophilia in agenesis of the vena cava as a factor for deep vein thrombosis.腔静脉发育不全时血栓形成倾向风险升高作为深静脉血栓形成的一个因素
Orphanet J Rare Dis. 2015 Jan 21;10:3. doi: 10.1186/s13023-014-0223-4.
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Compressive symptoms due to thrombosed or hypertrophic collateral circulation in infrarenal inferior vena cava agenesis.肾下腔静脉缺如时血栓形成或侧支循环肥厚所致的压迫症状。
Ann Vasc Surg. 2013 Feb;27(2):238.e9-238.e13. doi: 10.1016/j.avsg.2012.06.014.
6
Perinatal inferior vena cava thrombosis and absence of the infrarenal inferior vena cava.围产期下腔静脉血栓形成及肾下下腔静脉缺如
J Vasc Surg. 2001 May;33(5):1097-9. doi: 10.1067/mva.2001.114205.
7
Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings.下腔静脉先天性异常的谱系：横断面成像表现
Radiographics. 2000 May-Jun;20(3):639-52. doi: 10.1148/radiographics.20.3.g00ma09639.
8
Some radiologic observations in renal vein thrombosis.肾静脉血栓形成的一些放射学观察
Am J Roentgenol Radium Ther Nucl Med. 1974 Feb;120(2):368-88. doi: 10.2214/ajr.120.2.368.