Holden A, Ferrar D
Department of Radiology, Auckland Hospital, Grafton, New Zealand.
Australas Radiol. 1998 Aug;42(3):238-40. doi: 10.1111/j.1440-1673.1998.tb00504.x.
A 58-year-old woman presented with bilateral upper limb ischaemia. Digital subtraction angiography demonstrated upper limb arterial thrombosis, extensive on the left. This was initially treated with catheter-directed thrombolysis which cleared the thrombus on the right, although the left upper limb required supplementary surgical embolectomy. Subsequently, biopsy-proven pancreatic adenocarcinoma was detected. The upper limb arterial thrombosis appeared to be spontaneous in association with the malignancy because there was no obvious embolic source.
一名58岁女性因双侧上肢缺血就诊。数字减影血管造影显示上肢动脉血栓形成，左侧范围广泛。最初采用导管定向溶栓治疗，右侧血栓得以清除，尽管左侧上肢需要辅助手术取栓。随后，经活检证实为胰腺腺癌。上肢动脉血栓形成似乎是与恶性肿瘤相关的自发性血栓，因为没有明显的栓子来源。
