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Spontaneous Iliac Vein Rupture Due to May-Thurner Syndrome and Its Staged Management

机译:由于五月卷眼综合征及其分期管理,自发性髂静脉破裂

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We present a case of a 58-year-old otherwise healthy women who presented with left lower extremity deep venous thrombosis and was found to have pulmonary embolism along with a ruptured left internal iliac vein. Our patient was hemodynamically stable upon presentation; therefore, a staged approach was undertaken. Initially, an inferior vena cava filter was placed and the patient was slowly advanced to therapeutic anticoagulation and subsequently discharged. She then returned 2 weeks after discharge for venogram, mechanical thrombectomy, and stenting. At 1-year follow-up in clinic, she was found to have patent stents and resolution of symptoms.
机译:我们提出了一个58岁的其他健康女性,呈现左下肢体深静脉血栓形成,发现具有肺栓塞以及破裂的左内髂静脉。 我们的患者在介绍时被血流动力学稳定; 因此,进行了分阶段的方法。 最初,放置了较差的腔静脉过滤器,患者缓慢地前进至治疗抗凝并随后排出。 然后她在出院后2周返回静脉标记,机械血栓切除术和支架。 在诊所的1年随访时间里,她被发现有专利支架和解决症状。

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