Ben Khalifa Badreddine, Naouar Sahbi, Lahouar Rayen, Sridi Chamseddine, Gazzeh Wael, Salem Braiek, El Kamel Rafik
Aghlabids Surgical Division, Urology Department, Ibn Jazzar Teaching Hospital, Rue Hassan Ibn Nouaman, Kairouan.
Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Ann Med Surg (Lond). 2023 Mar 27;85(5):1870-1873. doi: 10.1097/MS9.0000000000000335. eCollection 2023 May.
Secondary deep vein thrombosis due to a mass effect on the venous system has been reported in the literature. Venous thrombosis is frequently seen in the lower extremities; however, when seen at the iliac level, the mass effect of an underlying pathology must be considered. Identifying such etiologies guides the management and reduces the risk of recurrences.
In this report, the authors present a case of an extended iliofemoral vein thrombosis caused by a giant retroperitoneal abscess (RA) in a 50-year-old woman with underlying type 2 diabetes mellitus, presenting with painful left leg swelling and fever. Color venous Doppler ultrasonography and computed tomography scan of the abdomen and pelvis findings were compatible with a left voluminous RA compressing the left iliofemoral vein with an extended deep vein thrombosis.
The mass effect on the venous system is rare in RAs, but it must be kept in mind. In light of this case and literature review, the authors highlight the diagnosis and management difficulties in handling this unusual presentation form of a RA.
文献中已报道因静脉系统受肿块压迫导致的继发性深静脉血栓形成。静脉血栓形成常见于下肢；然而，当在髂静脉水平出现时，必须考虑潜在病变的肿块压迫效应。明确此类病因有助于指导治疗并降低复发风险。
在本报告中，作者介绍了一名50岁患有2型糖尿病的女性患者，因巨大腹膜后脓肿（RA）导致髂股静脉广泛血栓形成的病例，患者表现为左腿疼痛性肿胀和发热。彩色静脉多普勒超声检查以及腹部和盆腔计算机断层扫描结果显示，左侧巨大RA压迫左髂股静脉并伴有广泛深静脉血栓形成。
RA对静脉系统的肿块压迫效应较为罕见，但必须予以重视。鉴于该病例及文献回顾，作者强调了处理这种RA异常表现形式时的诊断和治疗困难。
