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Tc-99m MAA Radionuclide Venography in Infra-Popliteal to Ileofemoral Veins Obstruction After Traumatic Injury

利用鎝-99m標誌巨聚合白蛋白靜脈造影術在創傷後左髂股靜脈至膕下靜脈栓塞的診斷

摘要


Here we describe a case of a 19-year-old young man with acute pulmonary embolism and left lower leg thrombosis after lower limb trauma post thrombolytic therapy and persistent D-Dimer elevation. Radionuclide venography revealed deep venous thrombosis in the left infra-popliteal to iliofemoral veins with good collaterals. Lower extremity ultrasound showed thrombosis over the left iliofemoral vein and downstream veins. We found that the left greater saphenous vein was an alternative pathway of collateral systems in the presence of deep vein thrombosis at the infra-popliteal vein.

並列摘要


本文描述了一位19歲的年輕男性患有創傷後急性肺栓塞及左側小腿血栓形成,雖經溶栓治療後,D-二聚體(D-Dimer)仍持續升高。核醫鎝-99m標誌巨聚合白蛋白靜脈造影術顯示左髂股靜脈至膕下靜脈栓塞,並伴隨側支循環產生。超音波檢查也證實左側髂股靜脈及下游靜脈栓塞。本病例顯示當深部靜脈血栓形成時,左側大隱靜脈可能是下肢靜脈栓塞時側支循環的替代途徑。

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