梅 - 瑟纳综合征:反复复发的,未引起的深静脉血栓的有趣表现
Bethany A Phillips-Smith1, Jazmin Jatana1, Emma Carter1
1Family Medicine, West Virginia University School of Medicine, Wheeling, USA.
Cureus
|September 18, 2023
概括
梅-瑟纳综合征 (MTS) 涉及左下静脉的压缩,导致深静脉血栓 (DVT). 这一案例突显了MTS是导致70岁妇女出现反复的,无原因的DVT的原因.
科学领域:
- 血管医学 血管医学
- 放射学 放射学是一门学科.
- 案例报告 案例报告
背景情况:
- 梅-瑟纳综合征 (MTS) 是一种解剖学变异,右侧常见阴道动脉压缩左侧阴道静脉.
- 这种压缩导致静脉外流阻塞,增加深静脉血栓症 (DVT) 的风险,特别是在左下肢.
- MTS是DVT的不常见但重要的原因,主要影响女性.
研究的目的:
- 在70岁的女性患者中报告一个未引起的,反复复发的左侧DVT病例.
- 强调在同一肢体出现复发性DVT的患者中考虑梅-瑟纳综合征的重要性.
- 提高对这种罕见疾病及其潜在诊断挑战的认识.
主要方法:
- 介绍了一个70岁的妇女的详细病例报告,她患有复发性,无缘无故的左侧DVT.
- 对临床表现,诊断工作和管理策略的审查.
- 讨论梅-瑟纳综合征的潜在病理生理学.
主要成果:
- 患者在左下肢中经历了反复的,未引起的深静脉血栓形成.
- 诊断评估证实梅-瑟纳综合征是潜在原因.
- 这一案例强调了MTS和复发性DVT之间的联系,即使在老年人中也是如此.
结论:
- 梅-瑟纳综合征应考虑在患有复发性,未引起的深静脉血栓症的患者的差异诊断中,特别是当局部于左下肢时.
- 早期识别和诊断MTS对于适当的管理和预防进一步的静脉连续症至关重要.
- 这一案例凸显了在特定临床场景中对MTS的高怀疑指数的需要.
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