Park Suyoung, Kim Jeong Ho, Hwang Jung Han, Cho Jayun
Department of Radiology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Department of Trauma Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
J Trauma Inj. 2023 Jun;36(2):157-160. doi: 10.20408/jti.2022.0039. Epub 2022 Dec 1.
Traumatic iliac venous injury is rare but can be fatal. Although surgical management is considered a primary treatment method, urgent treatment is required when deep venous thrombosis and subsequent phlegmasia cerulea dolens is combined. It is difficult to treat by surgical management, and pharmaceutic thrombolysis cannot be applied due to the trauma history. Here, we describe a case of unilateral traumatic iliac venous injury and subsequent diffuse venous thrombosis in the affected iliofemoral and infrapopliteal veins, combined with phlegmasia cerulea dolens, treated with endovascular management, including bare metal stent insertion and aspiration thrombectomy.
创伤性髂静脉损伤罕见但可能致命。虽然手术治疗被认为是主要治疗方法,但当合并深静脉血栓形成及随后的股青肿时则需要紧急治疗。手术治疗难度大,且由于有创伤史不能应用药物溶栓。在此,我们描述一例单侧创伤性髂静脉损伤,随后在患侧髂股静脉和腘静脉以下出现弥漫性静脉血栓形成,并合并股青肿,采用血管内治疗,包括置入裸金属支架和血栓抽吸术进行治疗。