解放军医学杂志2025，Vol.50Issue(2)：162-167,6.DOI:10.11855/j.issn.0577-7402.1603.2024.1112
腘静脉瘤内血栓所致肺栓塞1例报告并文献复习
Pulmonary embolism caused by thrombus in a popliteal venous aneurysm:a case report and literature review
摘要
Abstract
Objective To report the diagnosis and treatment of a case of acute pulmonary embolism caused by thrombus detachment within a popliteal venous aneurysm and conduct a literature review,aiming to enhance the understanding of the disease.Methods The case data of a patient with pulmonary embolism caused by thrombus detachment within a popliteal venous aneurysm who was admitted to the Second Hospital of Lanzhou University were retrospectively analyzed.The relevant literature published from July 2014 to July 2023 in the CNKI and PubMed databases was retrieved,and the diagnosis and treatment methods of the disease were summarized.Results The patient in this case was a 61-year-old male,who was admitted was admitted to the hospital due to"intermittent chest tightness and shortness of breath for 5 days".Color Doppler ultrasound examination and pulmonary artery CT angiography(CTA)suggested popliteal venous aneurysm combined with intramural thrombus and pulmonary embolism.Therefore,the pulmonary embolism and popliteal venous aneurysm were treated surgically in stages.The patient recovered well after the operation and there were no symptoms of chest tightness or shortness of breath after discharge.A total of 11 literatures were retrieved,involving 11 patients,all of whom underwent surgical treatment;Among them,4 patients were treated with inferior vena cava filter placement,and 2 patients underwent popliteal venous aneurysm surgery after filter placement.Through literature review,it can be known that the etiology of popliteal venous aneurysm remains unclear,and there is no unified standard for diagnosis and treatment.Up to now,surgery is still the preferred option for treatment.Conclusions Patients with popliteal venous aneurysms may be asymptomatic but can lead to deep vein thrombosis of the lower limbs and subsequent pulmonary embolism.Surgical intervention is an effective treatment option.For patients with combined pulmonary embolism,especially those with recurrent pulmonary embolism,it is recommended to perform surgical treatment following placement of an inferior vena cava filter.关键词
腘静脉瘤/血栓/肺栓塞/外科手术Key words
popliteal venous aneurysm/thrombosis/pulmonary embolism/surgery分类
临床医学引用本文复制引用
袁东,刘涛,张嵴明,李志勇..腘静脉瘤内血栓所致肺栓塞1例报告并文献复习[J].解放军医学杂志,2025,50(2):162-167,6.基金项目
This work was supported by the Gansu Provincial Natural Science Foundation(21JR11RA121) 甘肃省自然科学基金(21JR11RA121) （21JR11RA121）
