Bomalaski M D, Mills J L, Argueso L R, Fujitani R M, Sago A L, Joseph A E
Department of Urology, USAF Medical Center Wilford Hall, San Antonio, TX.
J Vasc Surg. 1993 Dec;18(6):1064-8. doi: 10.1067/mva.1993.45525.
Iliac vein compression syndrome is the phenomenon of nonthrombotic iliac vein obstruction caused by compression of left iliac vein between the right iliac artery and fifth lumbar vertebra. Affected patients usually present with unilateral leg edema. The condition is most often seen in women, in whom it may also be a cause of vulvar varicosities. Presented here is a case of idiopathic iliac vein obstruction associated with an ipsilateral varicocele in a young man. This varicocele was caused by multiple collateral venous channels and was resistant to surgical high ligation. This case illustrates an unusual cause of varicocele formation and an anatomic reason for failure of standard surgical therapy.
髂静脉压迫综合征是指左髂静脉在右髂动脉和第五腰椎之间受到压迫而导致的非血栓性髂静脉阻塞现象。受影响的患者通常表现为单侧腿部水肿。这种情况在女性中最为常见，在女性中它也可能是外阴静脉曲张的一个原因。本文介绍了一名年轻男性特发性髂静脉阻塞合并同侧精索静脉曲张的病例。该精索静脉曲张是由多个侧支静脉通道引起的，对手术高位结扎有抵抗性。该病例说明了精索静脉曲张形成的一个不寻常原因以及标准手术治疗失败的解剖学原因。
