[Right iliac artery aneurism revealed by a left leg ulcer].

Dakar medical Pub Date : 2008-01-01
A G Ciss, O Diarra, A Diop Ndoye, A Ndiaye, S A Bèye, P A Dieng, O Kane, M Ndiaye
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引用次数: 0

Abstract

Objective: The aim of this study is to expose a secondary cause of venous insufficiency which surgical treatment.

Observation: A 73 old man with a huge aneurism of the right common iliac artery which compressed the left common iliac vein was described. The patient had a unilateral left leg oedema and stasing ulcer. Examinations revealed an abdominal pulsate mass. Echography and T scan showed a right common iliac artery aneurysm and compression of the left iliac vein. Surgery was resected aneurism and replaced vascular prosthesis. After surgery, the unilateral left leg oedema was rapidly regressed and complete stasing ulcer healing.

Conclusion: This case report showed difficult diagnosis and treatment of vascular disease in under development countries.

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[左腿溃疡显示右髂动脉动脉瘤]。
目的:本研究的目的是揭示手术治疗静脉功能不全的次要原因。观察:报告一位73岁老人右髂总动脉巨大动脉瘤压迫左髂总静脉。患者单侧左腿水肿并伴有溃疡。检查发现腹部搏动肿块。超声和T扫描显示右髂总动脉瘤和压迫左髂静脉。手术切除动脉瘤,置换血管假体。术后单侧左腿水肿迅速消退,溃疡完全分期愈合。结论:本病例报告显示了欠发达国家血管疾病的诊断和治疗困难。
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