在先前存在的双边轨道静脉瘤中急性单边轨道静脉血栓形成:说明案例
Chanokgarn Pichayawat1, Weerawan Chokthaweesak1, Sasikant Leelawongs1
1Departments of1Ophthalmology.
Journal of neurosurgery. Case lessons
|June 24, 2023
概括
轨道静脉是一种罕见的静脉形,会导致亡. 这一案例突出了成功的手术和硬化疗法干预对于一个复杂的轨道静脉瘤与血栓形成,导致良好的恢复.
科学领域:
- 眼科医生 眼科 眼科
- 血管形症 血管形症
- 医疗成像医学成像
背景情况:
- 轨道静脉是一种罕见的,可扩张的轨道静脉形.
- 通常表现为间歇性周围轨道疼痛和定位性亡,Valsalva机动加重.
- 并发症包括出血和血栓形成,导致突然亡和视觉障碍.
研究的目的:
- 报告一个轨道静脉栓塞病例.
- 描述临床表现和诊断发现.
- 为了说明复杂的轨道变异的成功管理.
主要方法:
- 一名42岁的女性出现了急性疼痛性亡.
- 眼科检查和CT扫描显示了右轨道变节血栓和左轨道变节.
- 治疗包括手术切除血栓变形体和注射白血素.
主要成果:
- 组织病理学证实了血栓形成的轨道变节的诊断.
- 患者在6个月的随访期经历了良好的临床改善.
- 在复杂案件中表现出有效的多学科管理.
结论:
- 轨道静脉动脉表现出一系列的临床表现.
- 保守的治疗往往是成功的,但复杂的病例需要干预.
- 硬化疗法,栓塞和外科切除是复杂的轨道静脉瘤的可行选择.
相关概念视频
Esophageal Varices-I: Introduction
199
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
199
Esophageal Varices-II: Clinical Features and Management
99
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
99
Varicose Veins II: Diagnostic Studies and Interprofessional Care
18
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
18
Varicose Veins I: Introduction
12
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
12
Venous Thrombosis III: Interprofessional Care
11
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
11
Venous Thrombosis I: Introduction
14
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
14


