Case Report: Rare Iliac Vein Compression (May–Thurner) Syndrome in a Pediatric Patient
| Autor: | Yuming Qin, Fan Yang, Xueying Cheng, Xuan Chen, Lianfu Ji, Jinlong Chen, Shiwei Yang, Jie Yin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
left lower extremity swelling Case Report 030204 cardiovascular system & hematology iliac vein compression syndrome Pediatrics RJ1-570 iliac vein 03 medical and health sciences 0302 clinical medicine medicine.artery Medicine angiography 030212 general & internal medicine iliac artery Aspirin Aorta medicine.diagnostic_test business.industry Vein compression Magnetic resonance imaging medicine.disease May–Thurner syndrome Surgery Stenosis Pediatric patient Pediatrics Perinatology and Child Health Angiography cardiovascular system business medicine.drug |
| Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 9 (2021) |
| ISSN: | 2296-2360 |
| Popis: | Iliac vein compression syndrome (IVCS) or May–Thurner syndrome occurs predominantly in young to middle-aged women. Here we reported a case of IVCS in a 5-year-old boy. The child was admitted to our vasculocardiology department with left lower extremity that had been swollen for 1 month. Blood tests revealed coagulation routine and platelets in the normal ranges. Computer tomography angiography (CTA) and magnetic resonance imaging (MRI) showed the left common iliac vein had become narrow before it entered the right common iliac vein. To further clarify, we performed angiography, which clearly showed the stenosis and the blood return of the left common iliac vein. So IVCS was diagnosed. What is more, we found the aorta descended to the right of the spine, and this may be the reason for the apparent compression of the left common iliac vein. Given the young age and mild symptoms of the child, the treatment was conservative mainly including elevation of the affected limb, wearing medical elastic socks, and short-term oral aspirin for anticoagulation. Meanwhile, the boy is being followed up closely. If the swelling of the left lower extremity significantly increases, stent placement may need to be considered in the future. |
| Databáze: | OpenAIRE |
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