一例儿童血管内筋膜炎模仿深静脉血栓形成的病例报告。

Yeşim Yiğit, Oğuzhan Erdoğan, Ayşen Türedi Yıldırım, Erdener Özer, Hüseyin Gülen
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引用次数: 0

摘要

背景:血管内筋膜炎(IF)是一种良性、反应性、肌纤维增生,起源于小/中型动脉和静脉的浅层或深层筋膜:一名 8 岁的男性患者因腹股沟区肿胀而被送往一家医疗中心。下肢静脉多普勒超声检查显示股静脉深静脉血栓形成(DVT),并开始使用低分子量肝素(LMWH)进行抗凝治疗。患者被转到本中心进行随访。经检测,D-二聚体水平在正常范围内。再次进行多普勒超声检查,结果显示管腔内肿块病变扩大,血管增多,边界不清,因此停用了 LMWH。手术切除了这个位于隐股交界处的病灶,组织病理学检查显示为血管内筋膜炎:临床医生应该意识到,血管内筋膜炎的临床表现可能与肉瘤和血栓形成相似。
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A child with intravascular fasciitis mimicking deep vein thrombosis: a case report.

Background: Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins.

Case report: An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis.

Conclusion: Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis.

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