中文题目髂静脉压迫症候群病例报告英文题目May-Thurner.PDFVIP

中文題目：髂靜脈壓迫症候群病例報告 英文題目：May-Thurner Syndrome: A case report 1 2 3 作 者：楊峻育 ，施柏丞 ，楊淵博 1 2 3 服務單位：彰化基督教醫院 一般科 內科部 心臟內科 Introduction: Deep vein thrombosis (DVT) is a common disease, the thrombosis can be resulted from anything that affects your blood clotting or circulation, such as injury to a vein, surgery, certain medications and limited movement. May-Thurner syndrome(MTS) is an uncommon condition in which patients develop iliofemoral deep venous thrombosis (DVT) due to an anatomical variant of iliac vein with long-term disabling complications Case Report: An 88-year-old man presented 3 days of acute aggravation of left lower extremity erythematous change and swelling associated with dull throbbing pain. The patient had medical history of hypertension, hyperlipidemia, bilateral nodular goiter post bilateral lobectomy, left lower leg phlebectomy 10 years ago. Daily medication were amlodipine, olmesartan, tamsulosin, pravastatin. He had no significant family history. He had no history of smoking or alcohol use. On physical examination, the patient’s vital signs were within normal limits. Local heat, swelling, erythematous change over left lower extremity without crepitus, fluctuance were noted. There was small skin ulcer 3*3cm without foul smell or discharge near left ankle. No palpable had lymphadenopathy node over left inguinal area. A complete blood count and basic metabolic profile were within normal limits. The prothrombin time was 12.1 seconds, international normalized ratio (INR) 1.01, and activated partial thromboplastin time 33.5 seconds. Left lower extremity ultrasound revealed total occlusion of left external iliac vein and left common femoral vein (figure 1); right side deep veins are within normal limits (figure 2). Previous contrast-enhanced computed tomography revealed in the left common i