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梅-特纳综合征:一种罕见但已被认识的深静脉血栓形成原因。

May-Thurner Syndrome: A Rare, Yet Recognized, Cause of Deep Vein Thrombosis.

作者信息

Al Ghananeem Zaid, Deshpande Amit, Sundaresan Vaibhav, Abuzenah Mohammad, Abuzenah Hamza

机构信息

Vascular Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.

Vascular Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.

出版信息

Cureus. 2024 Aug 7;16(8):e66357. doi: 10.7759/cureus.66357. eCollection 2024 Aug.

Abstract

May-Thurner syndrome (MTS) involves the chronic compression of the left common iliac vein (CIV) by the overlying right common iliac artery (CIA) against the lumbar vertebrae. This compression can result in signs and symptoms of deep vein thrombosis (DVT) affecting the left side. In this case report, we present the clinical details of a 19-year-old patient diagnosed with severe MTS, which manifested as DVT with symptoms of severe thigh pain, redness, and difficulty walking. Additionally, the patient experienced pleuritic chest pain, ultimately diagnosed as pulmonary embolism (PE). Her management involved surgical removal of the thrombus and endovascular stenting of the left CIV. Following her recovery, she progressed favorably, and her follow-up assessment yielded satisfactory results.

摘要

梅-图二氏综合征(MTS)是指右侧髂总动脉(CIA)在腰椎水平从上方压迫左侧髂总静脉(CIV),导致左侧髂总静脉长期受压。这种压迫可引发左侧深静脉血栓形成(DVT)的体征和症状。在本病例报告中,我们呈现了一名19岁被诊断为重度梅-图二氏综合征患者的临床细节,该患者表现为深静脉血栓形成,伴有严重的大腿疼痛、发红及行走困难等症状。此外,患者还出现了胸膜炎性胸痛,最终被诊断为肺栓塞(PE)。对其治疗包括手术清除血栓及对左侧髂总静脉进行血管内支架置入。患者康复过程顺利,随访评估结果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/995b/11380549/87d9c990c45c/cureus-0016-00000066357-i01.jpg

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