Yamada M, Nonaka M, Murai N, Hanada H, Aiba M, Funami M, Inoue K, Takaba T
Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.
Surg Today. 1995;25(5):465-7. doi: 10.1007/BF00311830.
We report a rare case of a spontaneous rupture of the iliac vein which was then surgically treated with good results. A 66-year-old woman was admitted complaining of leg swelling and lower abdominal pain. On the 3rd day after admission, an operation was performed because of a gradually increasing hematoma in the retroperitoneal space. Laparotomy revealed a 17 mm longitudinal tear on the anterior surface of the left external iliac vein with a thrombus inside the lumen. Most of the previously reported 14 cases of this nature have required emergency operations.
我们报告一例罕见的髂静脉自发性破裂病例，该病例经手术治疗后效果良好。一名66岁女性因腿部肿胀和下腹部疼痛入院。入院后第3天，因腹膜后间隙血肿逐渐增大而进行了手术。剖腹探查发现左髂外静脉前表面有一处17毫米的纵向撕裂，管腔内有血栓形成。此前报道的14例此类病例大多需要急诊手术。
