- 期刊
Iliac Arteriovenous Fistula after Lumbar Discectomy: Report of a Case
腰椎間盤術後腸骨動靜脈瘻管合併症：病例報告
摘要
大血管損傷在腰椎間盤手術並不常見，而腰椎間盤手術後合併動靜脈血管瘻管更是相當罕見。臨床症狀常以下肢腫脹、腹痛、間歇性跛行、心臟衰竭及下腹部持續血管囉音表現。病情經常延遲診斷，而且常因為下肢腫脹症狀而被誤為深部靜脈栓塞。我們提出一例腰椎間盤手術後合併兩側腸骨動靜脈血管瘻管，以高心搏輸出表現心臟衰竭病例。回顧討論文獻這種合併症雖屬罕見，仍應提高警覺儘早診斷，確定瘻管位置，找出並手術關閉為正確治療方法。
關鍵字
無資料並列摘要
Arteriovenous fistula (AVF) is an unusual complication of lumbar disc surgery. The clinical manifestations of AVF include swelling of the legs, abdominal pain and intermittent claudication and heart failure with a continuous murmur in the lower part of the abdomen. The diagnosis is often late and the condition erroneously treated as deep venous thrombosis due to leg swelling. We report a 29-year-old male who developed high-output congestive heart failure due to bilateral iliac AVF following lumbar disc surgery and subsequent resolution of heart failure by corrective surgery. Review of the medical literature reveals that this complication is very rare, although it must be considered if a similar presentation is seen. After confirmation of fistula location, treatment consists of fistula closure.
延伸閱讀
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