Ishikawa Nozomu, Inuzuka Kazunori, Sano Masaki, Katahashi Kazuto, Tsuyuki Hajime, Endo Yusuke, Takeuchi Hiroya, Unno Naoki
Division of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.25-00055. Epub 2025 Jul 1.
We report a rare case of phlebosclerosis in the left antecubital region after peripheral intravenous chemotherapy, which caused elbow contracture. A 54-year-old woman with breast cancer underwent partial mastectomy of the right breast and 8 courses of neoadjuvant chemotherapy, 6 of which were administered via venipuncture in the left forearm. She developed progressive flexion contracture of the left elbow despite rehabilitation. Two cord-like fibrotic veins were identified in the antecubital region and surgically excised. Postoperative rehabilitation led to full elbow extension within 5 months. In cases with elbow extension limitation, proactive surgical intervention should be considered.
我们报告了1例周围静脉化疗后左肘前区静脉硬化的罕见病例,该病例导致了肘关节挛缩。一名54岁的乳腺癌女性患者接受了右乳部分切除术及8个疗程的新辅助化疗,其中6个疗程是通过左前臂静脉穿刺给药的。尽管进行了康复治疗,但她仍出现了左肘渐进性屈曲挛缩。在肘前区发现了两条索状纤维化静脉,并进行了手术切除。术后康复使肘关节在5个月内完全伸直。对于肘关节伸直受限的病例,应考虑积极的手术干预。