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一名年轻男性下肢间歇性跛行的罕见病例：病例报告

An unusual case of lower limb claudication in a young male: a case report.

作者信息

Gunawardena Thilina, Dissanayaka Waruni

机构信息

Teaching Hospital Polonnaruwa, Department of Vascular and Transplant Surgery, Polonnaruwa, Sri Lanka.

Teaching Hospital Polonnaruwa, Department of Pathology, Polonnaruwa, Sri Lanka.

出版信息

J Vasc Bras. 2025 Aug 13;24:e20250011. doi: 10.1590/1677-5449.202500112. eCollection 2025.

DOI:10.1590/1677-5449.202500112
PMID:40932998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419744/
Abstract

Exertional lower extremity pain due to arterial insufficiency is uncommon in the young. In this case report we present a 34-year-old, previously healthy male with sudden onset left lower limb pain upon walking for 50 meters. He was found to have a spontaneous dissection of his external iliac artery, which is a rare pathology. After successful open revascularization, he made an uneventful recovery.

摘要

因动脉供血不足导致的运动性下肢疼痛在年轻人中并不常见。在本病例报告中，我们介绍了一名34岁、既往健康的男性，他在行走50米后突然出现左下肢疼痛。他被发现患有髂外动脉自发性夹层，这是一种罕见的病理情况。在成功进行开放血管重建术后，他顺利康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/55479eb6fe35/jvb-24-e20250011-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/6118c88b24e2/jvb-24-e20250011-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/09461f1ef03c/jvb-24-e20250011-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/55479eb6fe35/jvb-24-e20250011-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/6118c88b24e2/jvb-24-e20250011-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/09461f1ef03c/jvb-24-e20250011-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/12419744/55479eb6fe35/jvb-24-e20250011-g03.jpg

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本文引用的文献

1
Acute limb ischemia secondary to external iliac and common femoral artery dissection in a body builder.一名健美运动员因髂外动脉和股总动脉夹层导致急性肢体缺血。
J Vasc Surg Cases Innov Tech. 2023 Jan 14;9(1):101099. doi: 10.1016/j.jvscit.2023.101099. eCollection 2023 Mar.
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Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report.血管腔内修复治疗自发性孤立性髂动脉夹层：一例报告
Vasc Specialist Int. 2021 Dec 28;37:38. doi: 10.5758/vsi.210040.
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Bilateral External Iliac Artery Dissection in a Middle-Aged Male Athlete.
一名中年男性运动员的双侧髂外动脉夹层
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Spontaneous common iliac artery dissection after exercise.运动后自发性髂总动脉夹层
J Endovasc Ther. 2003 Feb;10(1):163-6. doi: 10.1177/152660280301000131.
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Dissection of the external iliac artery in highly trained athletes.
J Vasc Surg. 1995 Aug;22(2):173-7. doi: 10.1016/s0741-5214(95)70113-3.
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Lower extremity arterial disease in young adults. A systematic approach to early diagnosis.年轻成年人的下肢动脉疾病。早期诊断的系统方法。
Ann Surg. 1985 Nov;202(5):647-52. doi: 10.1097/00000658-198511000-00018.