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伴有骨水肿和骨膜反应的异常骨内静脉引流:一种需警惕的罕见情况。

Anomalous intraosseous venous drainage with bone edema and periosteal reaction: A rare entity to be aware of.

作者信息

Martina Francesca Maria, D'Amone Giulia, Cirimele Vincenzo, Zobel Bruno Beomonte, Mallio Carlo A

机构信息

Radiology Department, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy.

出版信息

Radiol Case Rep. 2024 Aug 21;19(11):5105-5108. doi: 10.1016/j.radcr.2024.07.131. eCollection 2024 Nov.

DOI:10.1016/j.radcr.2024.07.131
PMID:39263496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387519/
Abstract

Varicose veins are associated with conditions that impair venous return, such as pregnancy, physical inactivity, valve failure and post-thrombotic syndrome. We report the case of a 50-year-old female patient with history of intermittent calf pain, worsening with prolonged standing posture. She had no previous medical history of either lower extremity trauma or infection. Physical examination showed medial pretibial soft tissue swelling. CT and MRI showed images suggestive of anomalous intraosseous venous drainage with associated bone edema and periosteal reaction. Knowledge of this rare entity is fundamental for proper patient management.

摘要

静脉曲张与损害静脉回流的情况相关,如怀孕、缺乏运动、瓣膜功能不全和血栓形成后综合征。我们报告一例50岁女性患者,有间歇性小腿疼痛病史,长时间站立姿势会使疼痛加重。她既往无下肢创伤或感染病史。体格检查显示胫骨前内侧软组织肿胀。CT和MRI显示的图像提示存在异常的骨内静脉引流,并伴有骨水肿和骨膜反应。了解这种罕见的情况对于正确管理患者至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/4ce749202770/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/de9393f0e538/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/41011777372b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/e0b4d2f99ee3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/4ce749202770/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/de9393f0e538/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/41011777372b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/e0b4d2f99ee3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edef/11387519/4ce749202770/gr4.jpg

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本文引用的文献

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Spontaneous Bone Marrow Edema: Perfusion Abnormalities and Treatment with Surgical Decompression.自发性骨髓水肿:灌注异常与手术减压治疗。
Int J Mol Sci. 2023 Apr 5;24(7):6761. doi: 10.3390/ijms24076761.
2
Bilateral Pretibial Varices with Intraosseous Venous Drainage Anomaly: A Case Report.
J Belg Soc Radiol. 2015 Dec 30;99(2):95-97. doi: 10.5334/jbr-btr.882.
3
Intraosseous anomalous drainage: a rare case of pretibial varicose vein.骨内异常引流:1例罕见的胫前静脉曲张病例。
Rev Bras Ortop. 2016 Sep 28;51(6):716-719. doi: 10.1016/j.rboe.2015.10.014. eCollection 2016 Nov-Dec.
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Intraosseous venous drainage of pretibial varices.胫前静脉曲张的骨内静脉引流。
Skeletal Radiol. 2013 Jun;42(6):843-7. doi: 10.1007/s00256-013-1587-6. Epub 2013 Feb 26.
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MR imaging of soft-tissue vascular malformations: diagnosis, classification, and therapy follow-up.磁共振成像在软组织血管畸形中的应用:诊断、分类和治疗随访。
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J Mal Vasc. 2010 Dec;35(6):373-6. doi: 10.1016/j.jmv.2010.09.003. Epub 2010 Nov 18.
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