DePass I E
Department of Surgery, Memorial University of Newfoundland, St. John's.
Can J Surg. 1998 Dec;41(6):473-5.
A 68-year-old woman, admitted because of acute lower quadrant abdominal pain but no history of trauma, underwent laparotomy for a suspected ruptured aortic aneurysm. Exploration revealed a 20-mm longitudinal tear in the left iliac vein. The vein was repaired primarily. Her postoperative course was complicated by deep vein thrombosis. Spontaneous rupture of the iliac vein without trauma is rare, but occurs predominantly in healthy white women between the ages of 40 and 80 years. Various causative mechanisms have been described: inflammation of the vessel wall secondary to thrombophlebitis, proximal obstruction of the iliac vein and spontaneous rupture without obstruction or thrombosis. In many cases an increase in intra-abdominal pressure is noted.
一名68岁女性因急性下腹部疼痛入院，无外伤史，因怀疑主动脉瘤破裂接受剖腹手术。探查发现左髂静脉有一个20毫米的纵向撕裂伤。该静脉主要进行了修复。她的术后病程因深静脉血栓形成而复杂化。髂静脉无外伤的自发性破裂很少见，但主要发生在40至80岁的健康白人女性中。已经描述了各种致病机制：继发于血栓性静脉炎的血管壁炎症、髂静脉近端阻塞以及无阻塞或血栓形成的自发性破裂。在许多病例中，可观察到腹内压升高。
