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2016, vol. 73, br. 5, str. 500-503
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Sekundarna venska aneurizma kao posledica intravenozne zloupotrebe narkotika
Secondary venous aneurysm following intravenous drug abuse: A case report
aUniverzitet u Beogradu, Medicinski fakultet, Srbija + Klinički centar Srbije, Klinika za vaskularnu hirurgiju, Beograd, Srbija bKlinički centar Srbije, Klinika za vaskularnu hirurgiju, Beograd, Srbija
e-adresa: drmiroslav@gmail.com
Projekat: Multidisciplinarna istraživanja relevantna za etiopatogenezu, dijagnostiku i savremeni tretman bolesti torakoabdominalne aorte i njenih grana (MPNTR - 175008)
Primena biomedicinskog inženjeringa u pretkliničkoj i kliničkoj praksi (MPNTR - 41007)
Sažetak
Uvod. Venska aneurizma je retko patološko stanje koje se može pojaviti kako na površnom, tako i na sistemu dubokih vena. Sekundarne venske aneurizme, kao i venske pseudoaneurizme, najčešće se javljaju kao posledica spoljne, neretko jatrogene traume. S obzirom na nisku učestalost, one se često ne prepoznaju i shodno tome nepravilno leče. Moguće komplikacije uključuju trombozu, flebitis, plućni tromboembolizam, pa čak i rupturu. Prikaz bolesnika. Prikazali smo sekundarnu vensku aneurizmu lokalizovanu na velikoj veni safeni kod mlade narkomanke, kao posledicu dugotrajnog uzimanja intravenoznih narkotika preko prepone. Aneurizma je zahtevala hitno hirurško lečenje usled akutne hemoragijske komplikacije, zbog toga što je prethodno bila punktirana pod dijagnozom suspektnog hematoma, odnosno apscesa, od strane opšteg hirurga. Učinjena je potpuna resekcija aneurizme, uz očuvanje kontinuiteta safenske vene. Postoperativni tok je protekao bez komplikacija, a uredna protočnost vene safene potvrđena je kontrolním ultrasonografskim pregledom. Zaključak. Venske aneurizme su retke, naročito one sekundarne etiologije. Ukoliko dosegnu značajan prečnik ili prete komplikacijama, potrebno je hirurško lečenje.
Abstract
Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.
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Reference
|
|
  
|
Castle, J. (1995) Femoral vein aneurysm: a case report and review of the literature. Cardiovascular Surgery, 3(3): 317-319
|
|
|
Dahl, J.R. (1976) Popliteal Vein Aneurysm With Recurrent Pulmonary Thromboemboli. JAMA: The Journal of the American Medical Association, 236(22): 2531
|
|
|
Debnath, D., Wallace, S., Mylona, E., Myint, F. (2007) Aneurysm of antecubital vein: an unusual complication of peripheral intravenous cannulation. BMC Surgery, 7(1)
|
|
|
Johnson, J.E. (1984) Infected Venous Pseudoaneurysm. Archives of Surgery, 119(9): 1097
|
|
|
Karahan, M. (2005) False aneurysm of the common femoral vein in a footballer. British Journal of Sports Medicine, 39(2): e8-e8
|
|
|
Lev, M., Saphir, O. (1951) Endophlebohypertrophy and phlebosclerosis. I. The popliteal vein. Arch J Pathol, 51: 145-178
|
|
|
May, R., Nissl, R. (1968) Aneurysma der Vena poplitea. RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, 108(03): 402-403
|
|
|
Pascarella, L., Al-Tuwaijri, M., Bergan, J.J., Mekenas, L.M. (2005) Lower Extremity Superficial Venous Aneurysms. Annals of Vascular Surgery, 19(1): 69-73
|
|
|
Salour, M., Dattilo, J.B., Mingloski, P.M., Brewer, W.H. (1998) Femoral vein pseudoaneurysm: uncommon complication of femoral vein puncture. Journal of ultrasound in medicine, 17(9): 577-9
|
|
|
Schatz, I.J., Fine, G. (1962) Venous Aneurysms. New England Journal of Medicine, 266(25): 1310-1312
|
|
|
Schummer, W., Schummer, C., Voigt, R., Heyne, J., Steenbeck, J. (2003) Pseudoaneurysm: A rare complication of internal jugular vein cannulation: Two case reports in livertransplant patients. Anasthesiol Intensivmed Noftallmed Schmerzther, 38(8): 542-6. (German)
|
|
|
Seery, J.M., Reyes, A.M., Rice, R.D., Dodge, A.N., Armstrong, P.J. (2010) Primary venous aneurysms: two case reports. American surgeon, 76(2): 224-5
|
|
|
Sessa, C., Nicolini, P., Perrin, M., Farah, I., Magne, J.L., Guidicelli, H. (2000) Management of symptomatic and asymptomatic popliteal venous aneurysms: A retrospective analysis of 25 patients and review of the literature. Journal of vascular surgery, 32(5): 902-12
|
|
|
Ward, W.H., Platz, T.A., Pond, K.T., Southern, F.A., Moore, E.M. (2009) Iatrogenic Venous Pseudoaneurysm: Case Report And Review Of The Literature. Vascular, 17(6): 355-358
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