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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Iliac Vein Compression- The May-Thurner Syndrome Diagnosed by CT Angiography
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Iliac Vein Compression- The May-Thurner Syndrome Diagnosed by CT Angiography

机译：髂静脉压缩 - CT血管造影诊断的5月Thent综合征

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Chronic venous insuffciency and venous ulcers are a frequent cause of morbidity in diabetic as well as non-diabetic patients.Pelvic veins can often be involved by thrombosis. Imaging with Doppler sonography is essential to diagnose venous thrombosis.However, pelvic vein compression by an adjacent coursing artery is an unusual cause of lower limb venous obstruction, limbswelling and non-healing ulcers. Diagnosis of iliac vein obstruction and identifcation of compression by the iliac artery requiresradiological imaging, with CT angiography being the current favoured modality. Here, a case 23-year-old male presented withpainless swelling of the left leg since three years duration with a venous ulcer on the lateral aspect of lower leg since two years. Inorder to ascertain the cause of pelvic iliac vein compression(as detected on Venous Doppler ultrasonography), Dual-phase thinsection abdominal and bilateral lower limb Computed Tomography (CT) Angiography with venography run were performed, whichshowed the right common iliac artery compressing the left common iliac vein at its origin Based on these imaging fndings, aradiological diagnosis of May-Thurner syndrome was made which highlights that non-thrombotic occlusion of pelvic veins can bea cause of unilateral lower limb swelling and long standing venous ulcer.
机译：慢性静脉短缺性和静脉溃疡是糖尿病和非糖尿病患者的常见原因。血栓形成通常可以参与葡萄糖。与多普勒超声拍摄的成像对于诊断静脉血栓形成至关重要。但是，邻近培养术动脉的盆腔静脉压缩是低肢体静脉阻塞，肢体和非愈合溃疡的不寻常原因。髂静脉梗阻诊断髂动脉急性成像的髂静脉阻塞和识别，CT血管造影是当前有利的模态。在这里，自两年以来，自两年以来，自三年以来，左腿持续时间呈现出左腿的案例23岁的男性。为了确定盆腔髂静脉压缩的原因（如在静脉多普勒超声检查上检测到），进行双相静脉腹部和双侧下肢计算机断层扫描（CT）血管造影与静脉造影运行，这是右髂动脉压缩左侧常见髂静脉基于这些成像Fndings的起源，制备了可能的胰腺炎综合征的疾病诊断，突出了骨盆静脉的非血栓形成闭塞可以是单侧下肢肿胀和长期静脉溃疡的原因。

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