- 期刊
Inguinal Venous Aneurysm Misdiagnosed as Femoral Hernia: Report of a Case
大隱靜脈瘤誤診為股疝氣：病例報告
摘要
一位62歲女性病患於區域醫院接受腹腔鏡左側股疝氣切除手術。然而術後，腹股溝腫塊仍持續存在，再於本院心臟血管外科就診，經立體斷層血管攝影檢查修正確定診斷為罕見的腿部大隱靜脈瘤，於本院順利完成靜脈瘤手術切除。因腿部大隱靜脈瘤有引發大量肺部血管栓塞致死之可能危險，必須與腹股溝疝氣、股疝氣作正確之鑑別診斷。本病例報告提出近年文獻記載，針對不同部位包括頸部，胸，腹部靜脈瘤之特性，及腿部大隱靜脈瘤與腹股溝疝氣，股疝氣鑑別診斷及靜脈瘤之手術處理作比較及文獻回顧。
關鍵字
無資料並列摘要
We report a 62-year-old female who underwent a laparoscopic repair for a mass initially diagnosed as ”femoral hernia” at a local hospital. However, the inguinal mass persisted after the operation. Multidetector computed tomography revealed a great saphenous venous aneurysm. A tangential aneurysmectomy was performed smoothly. As there is a potential risk of lethal pulmonary embolism related to venous aneurysms, differential diagnosis between inguinal-femoral hernia and great saphenous venous aneurysm is important. We have also reviewed the literature with regard to venous aneurysms and their origin, diagnosis, histologic appearance, and proper management.
延伸閱讀
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