McDevitt D T, Lohr J M, Martin K D, Welling R E, Sampson M G
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220-2489.
Ann Vasc Surg. 1993 May;7(3):282-6. doi: 10.1007/BF02000255.
An 82-year-old man was admitted with a left hip fracture sustained in a fall. The fracture was surgically repaired. Ipsilateral leg swelling developed over the following 2 weeks. A lower extremity venous duplex scan demonstrated isolated dilatation of the popliteal veins in both lower extremities. Chronic thrombosis was noted in both popliteal veins at the level of this dilatation. Initial duplex scanning also revealed acute thrombus in the left popliteal, posterior tibial, and peroneal veins. A repeat scan 1 week later identified propagation of thrombus into the superficial femoral vein. Popliteal vein aneurysms, although rare, can cause significant morbidity and mortality. The literature is also reviewed.
一名82岁男性因跌倒导致左髋部骨折入院。骨折进行了手术修复。在接下来的2周内出现同侧腿部肿胀。下肢静脉双功扫描显示双下肢腘静脉孤立性扩张。在该扩张水平的双侧腘静脉中发现慢性血栓形成。初次双功扫描还显示左腘静脉、胫后静脉和腓静脉存在急性血栓。1周后复查扫描发现血栓蔓延至股浅静脉。腘静脉瘤虽然罕见，但可导致严重的发病率和死亡率。本文还对相关文献进行了综述。
