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一例乳房缩小术后上肢深静脉血栓形成的罕见病例。

An unusual case of deep vein thrombosis of the upper extremity following breast reduction.

作者信息

Kazaz Gorkem, Yılmaz Berkhan, Saçak Bülent

机构信息

Plastik, Rekonstrüktif ve Estetik Cerrahi ABD, Tıp Fakültesi, Marmara Üniversitesi, Istanbul, Turkey.

Departmant of Surgical Sciences, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

出版信息

Case Reports Plast Surg Hand Surg. 2025 Jan 24;12(1):2451632. doi: 10.1080/23320885.2025.2451632. eCollection 2025.

Abstract

Breast reduction surgery is a commonly performed procedure relieving physical discomfort and improving quality of life for individuals with macromastia. Despite its benefits, there are inherent risks associated with surgical intervention, one of which is the development of deep vein thrombosis (DVT). This relatively rare complication can lead to significant morbidity and mortality if not recognized and managed properly. We present a case of a 28-year-old female who underwent bilateral breast reduction surgery consequently developing swelling, pain and discoloration of her left arm. Duplex ultrasound confirmed the diagnosis of upper extremity DVT. The patient was immediately started on anticoagulation therapy and subsequently resolution of thrombosis and was confirmed by Duplex ultrasound. Lower extremity DVT is a rare complication following breast reduction surgery. Yet, we present the first case of upper extremity DVT following breast reduction, to our knowledge. Clinicians should maintain a high index of suspicion for this condition, particularly in patients with predisposing risk factors.

摘要

乳房缩小手术是一种常见的手术,可缓解巨乳症患者的身体不适并改善其生活质量。尽管有这些益处,但手术干预存在固有风险,其中之一是深静脉血栓形成(DVT)。这种相对罕见的并发症如果未得到正确识别和处理,可能导致严重的发病和死亡。我们报告一例28岁女性,她接受了双侧乳房缩小手术,随后出现左臂肿胀、疼痛和变色。双功超声证实了上肢DVT的诊断。患者立即开始接受抗凝治疗,随后血栓溶解,双功超声证实了这一点。下肢DVT是乳房缩小手术后罕见的并发症。然而,据我们所知,我们报告了首例乳房缩小术后上肢DVT病例。临床医生应对这种情况保持高度警惕,尤其是对于有易感风险因素的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3556/11770851/966cae9dab27/ICRP_A_2451632_F0001_C.jpg

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