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Case Report
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Korean J Med. 2015;88(6):696-700. Published online June 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.6.696
- 대복재 정맥 혈전을 동반한 급성 폐색전증 1예
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유승민1, 장문1, 권상창1, 김동현1, 김령훈1, 최영미1, 김준형2
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1부산성모병원 내과
2부산성모병원 방사선과
- An Acute Pulmonary Embolism Accompanying Greater Saphenous Vein Thrombosis
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Seung Min Ryu1, Moon Jang1, Sang Chang Kwon1, Dong Hyun Kim1, Ryung Hun Kim1, Young Mi Choi1, Jun Hyung Kim2
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1Departments of Internal Medicine, Busan St. Mary’s Hospital, Busan, Korea
2Departments of Radiology, Busan St. Mary’s Hospital, Busan, Korea
- Corresponding author: Young Mi Choi ,Tel: +82-51-933-7234,, Fax: +82-51-932-8600, Email: cymlje@hanmail.net
- Received: April 21, 2014; Revised: July 23, 2014 Accepted: September 30, 2014.
- 저자들은 흉부 역동적 컴퓨터단층촬영, 복부컴퓨터단층촬영, 양하지 도플러 초음파 및 상행성 정맥 조영술을 통해 심부정맥 혈전 없이 좌측 대복재 정맥 혈전증을 동반한 폐색전증 1예를 경험하였기에 보고하는 바이다.
߽ɾ :대복재 정맥 혈전증; 폐색전증, 심부정맥 혈전증
- Abstract
- Pulmonary embolism is most commonly related to deep vein thrombosis of the lower extremities. However, recent studies show that the thrombosis of superficial veins can also progress to deep vein thrombosis and pulmonary embolism. To our knowledge, there is no Korean report of pulmonary embolism associated with superficial vein thrombosis. We experienced an 82-year-old woman complaining of dyspnea and chest pain. On chest dynamic computed tomography (CT), pulmonary embolism was diagnosed. To evaluate the origin of the pulmonary embolism, abdominal CT, Doppler ultrasonography, and ascending venography of both lower extremities were done. We found no deep vein thrombosis, while thrombus of the proximal left greater saphenous vein was seen. We report a case of pulmonary embolism accompanying greater saphenous vein thrombosis without deep vein thrombosis.
Keywords :Pulmonary embolism, Thrombosis, Venous
