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2022, vol. 75, br. 5-6, str. 189-192
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Spontana ruptura aneurizme levog venskog ugla - prikaz slučaja
Spontaneus rupture of the left venous angle aneurysm: A case report
aUniverzitet u Novom Sadu, Medicinski fakultet, Srbija + Klinički centar Vojvodine, Klinika za vaskularnu i transplantacionu hirurgiju, Novi Sad, Srbija bKlinički centar Vojvodine, Centar za radiologiju, Novi Sad, Srbija cKlinički centar Vojvodine, Klinika za vaskularnu i transplantacionu hirurgiju, Novi Sad, Srbija dUniverzitet u Novom Sadu, Medicinski fakultet, Srbija + Klinički centar Vojvodine, Urgentni centar, Novi Sad, Srbija
e-adresa: nikola.batinic@mf.uns.ac.rs
Sažetak
Uvod. Aneurizme vena gornjih ekstremiteta i regije vrata su retkost za razliku od aneurizmi vena donjih ekstremiteta. Samo nekoliko slučajeva aneurizmi vena gornjih ekstremiteta je opisano u literaturi. Cilj rada bilo je nalaženje načina lečenja venskih aneurizmi gornjih ekstremiteta i regije vrata. Prikaz slučaja. Pacijentkinja stara 40 godina javila se u urgentni centar zbog pojave otoka u supraklavikularnoj regiji. Urađena je dopler ultrasonografija, gde je opisana sakularna aneurizma potključne vene, neposredno pre spajanja sa unutrašnjom jugularnom venom, sa znacima rupture u vidu razlivenog hematoma dimenzija 19 x 13 mm. Urađena su kompletna laboratorijska ispitivanja, a potom i kompjuterizovana venografija gde je opisana parcijalno trombozirana aneurizma u uglu između unutrašnje jugularne vene i potključne vene, maksimalnog dijametra 25 mm. Pacijentkinja je hospitalizovana i konzervativno lečena. Šest dana od nastanka simptoma urađena je magnetno-rezonantna venografija, na kojoj nije bila prisutna ranije opisana aneurizma levog venskog ugla. Tri meseca od nastanka simptoma, kontrolna magnetnorezonantna flebografija je urađena, na kojoj je ponovo opisana aneurizma u regiji spoja unutrašnje jugularne vene i potključne vene, maksimalnog dijametra 20 x 13 mm. Zaključak. Prva linija u dijagnostici je svakako klinički pregled i Dopler ultrasonografija, dok za monitoring aneurizme magnetnorezonantna venografija i venografija kompjuterizovanom tomografijom predstavljaju zlatni standard. Asimptomatske aneurizme i aneurizme sa blagom kliničkom slikom najbolje je konzervativno tretirati.
Abstract
Introduction. Upper extremity venous aneurysms and aneurysms of the neck are rare, unlike the lower extremity venous aneurysms. Only a few cases of upper extremity venous aneurysms have been described in the literature. The aim of the study was to find the best way to treat upper extremity venous aneurysms and the aneurysms of the neck region. Case Report. A 40-year-old female patient reported to the Emergency Center due to the swelling in the supraclavicular region. Color Doppler ultrasonography was performed and a saccular subclavian aneurysm was found, at the junction with the internal jugular vein, with signs of rupture presenting with locoregional hematoma spillage measuring 19 x 13 mm. Complete laboratory tests were performed, followed by computed tomography phlebography, where a partially thrombosed aneurysm was described in the angle between the internal jugular vein and subclavian vein, with a maximum diameter of 25 mm. The patient was hospitalized and treated conservatively. Six days after the onset of symptoms, magnetic resonance phlebography was performed, which did not show the previously described aneurysm of the left venous angle. Three months after the onset of symptoms, a control magnetic resonance phlebography was performed, which showed an aneurysm in the region of the junction of the left internal jugular vein and subclavian vein again, with a maximum diameter of 20 x 13 mm. Conclusion. Clinical examination and color Doppler ultrasound should certainly be the first-line of diagnosis, while magnetic resonance phlebography and computed tomography phlebography are the gold standard for aneurysm monitoring. Asymptomatic aneurysms and aneurysms with mild symptoms are best treated conservatively.
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Reference
|
|
2   
|
Chaikof, E.L., Dalman, R.L., Eskandari, M.K., Jackson, B.M., Lee, W.A., Mansour, M.A., et al. (2018) The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vascr Surg, 67(1), 2-77.e2
|
|
|
Çolaklar, A., Akkaya, H.E. (2019) Saccular aneurysm of the external jugular vein: An unusual cause of a neck mass. Oman Med J, 34(5):456-9
|
|
|
Drakonaki, E.E., Symvoulakis, E.K., Fachouridi, A., Kounalakis, D., Tsafantakis, E. (2011) External jugular vein aneurysm presenting as a cervical mass. Int J Otolaryngol, 2011:485293
|
|
|
Elbasty, A., Armon, M. (2018) Subclavian vein aneurysm. Eur J Vasc Endovasc Surg, 56(5):642
|
|
|
Gillespie, D.L., Villavicencio, J.L., Gallagher, C., Chang, A., Hamelink, J.K., Fiala, L.A., O'Donnell, S.D., Jackson, M.R., Pikoulis, E., Rich, N.M. (1997) Presentation and management of venous aneurysms. Journal of vascular surgery, 26(5): 845-52
|
|
|
Mccready, R.A., Bryant, M., Divelbiss, J.L., Chess, B.A. (2007) Subclavian venous aneurysm: Case report and review of the literature. Journal of Vascular Surgery, 45(5): 1080-1082
|
|
|
Mira, R.F., Caravajal, G.J.M., Armengod, C.A. (2002) Thoracic venous aneurysms: Clinical observation. J Cardiovasc Surg (Torino), 43(4):527-9
|
|
|
Modry, D.L., Hidvegi, R.S., Lafleche, L.R. (1980) Congenital saccular aneurysm of the superior vena cava. Annals of Thoracic Surgery, 29(3): 258-262
|
|
|
Schellhammer, F., Wöbker, G., Turowski, B. (2005) Asymptomatic aneurysm of the subclavian vein. Acta Radiologica, 46(4): 366-367
|
|
|
Sharma, R., Ravi, M., Unni, T. (2017) Primary fusiform superior vena cava aneurysm. Cardiology Research, 8(4): 176-178
|
|
1
|
Sidawy, A.N., Perler, B. (2018) Rutherford's vascular surgery and endovascular therapy. Philadelphia: Elsevier, 9th ed
|
|
|
Torres, G.M.D., Romero, A. (2017) Subclavian vein aneurysm: Case presentation and discussion: Case 14459. [Internet]; [cited 2022 Sep 5]: Available from: https://www.eurorad. org/case/14459
|
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