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一名儿童左颈外静脉动脉瘤伴反复血栓性静脉炎并接受手术治疗。

Left external jugular venous aneurysm in a child with repeated thrombophlebitis leading to surgery.

作者信息

Kawamura Keiichiro, Hashimoto Munetaka, Sato Hiroko, Horii Shinichiro, Murakami Akihiko, Kosaka Atsumi, Tamate Yoshihisa, Goukon Yuji

机构信息

Department of Vascular Surgery, Iwate Prefectural Isawa Hospital, Oshu, Iwate, Japan.

Division of Vascular Surgery, Department of Surgery, Soma General Hospital, Fukushima, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Jul 29;11(6):101937. doi: 10.1016/j.jvscit.2025.101937. eCollection 2025 Dec.

DOI:10.1016/j.jvscit.2025.101937
PMID:40919269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12410473/
Abstract

A venous aneurysm (VA) is characterized by localized venous dilatation. We report a case of a left external jugular VA in a child with recurrent thrombophlebitis. The patient was diagnosed at 1 year of age, and the VA temporarily regressed after thrombophlebitis at 3 years of age, but it recanalized and recurred at 7 years of age, necessitating surgical resection. Five years after surgery, no recurrence of VA was observed. Although surgical resection of a VA associated with thrombophlebitis may be an effective treatment option, with a favorable post treatment course, early excision should also be considered.

摘要

静脉瘤(VA)的特征是局部静脉扩张。我们报告一例患有复发性血栓性静脉炎的儿童左侧颈外静脉VA。该患者1岁时被诊断出,3岁时血栓性静脉炎发作后VA暂时消退,但7岁时再次通并复发,需要进行手术切除。手术后五年,未观察到VA复发。虽然与血栓性静脉炎相关的VA手术切除可能是一种有效的治疗选择,且治疗后病程良好,但也应考虑早期切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/109dc927588d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/992bca238f42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/6a019ffe3b06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/fa132989fda4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/1fda13ff3d47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/109dc927588d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/992bca238f42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/6a019ffe3b06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/fa132989fda4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/1fda13ff3d47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/12410473/109dc927588d/gr5.jpg

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本文引用的文献

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Comprehensive review with pooled analysis on external and internal jugular vein aneurysm.颈内静脉和颈外静脉动脉瘤的综合回顾与荟萃分析
J Vasc Surg Venous Lymphat Disord. 2022 May;10(3):778-785.e2. doi: 10.1016/j.jvsv.2021.09.009. Epub 2021 Oct 9.
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