Brown L, Sanchez F, Mannix H
Arch Surg. 1977 Jan;112(1):95. doi: 10.1001/archsurg.1977.01370010097020.
Idiopathic rupture of large veins is very rare. There has been one report in the Portugese literature of such an instance involving the iliac vein. Our patient was an elderly woman in whom evidence of intra-abdominal hemorrhage developed. There was no clinical evidence of trauma. At laparotomy a large retroperitoneal hematoma secondary to an 8-mm tear in the left common iliac vein was found. The tear occurred adjacent to where the right common iliac artery passes over the vein. Repair was followed by uneventful recovery. Results of the pathological examination showed nonspecific information.
特发性大静脉破裂非常罕见。葡萄牙文献中有一篇关于此类病例累及髂静脉的报道。我们的患者是一位老年女性，出现了腹腔内出血的迹象。没有外伤的临床证据。剖腹手术时发现左髂总静脉有一个8毫米的撕裂口，继发巨大腹膜后血肿。撕裂口发生在右髂总动脉跨过该静脉的位置附近。修复后恢复顺利。病理检查结果显示为非特异性信息。
