PDF(Pubmed)
Abstract：
UNASSIGNED: Tibial exostosis (osteochondroma) represents a prevalent benign bone tumor typically identified in young adults. Uncommonly, vascular complications can emerge, encompassing vessel perforation, thrombosis and arterial thromboembolic events. Rare instances of popliteal vein thrombosis resulting from tibial osteochondroma have been documented.
METHODS: We report a rare case of a 25-year-old patient who presented with a red and swollen leg, and the diagnosis of deep venous thrombosis (DVT) of the left popliteal vein was established. The patient also exhibited a painless, hard swelling in the popliteal fossa. Radiography revealed an exostosis on the posterior aspect of the proximal tibia. An angioscan demonstrated close relations with the popliteal vessels, leading to venous compression. The patient underwent resection through a posterior knee approach. Histopathological analysis of the exostosis ruled out malignant transformation.
UNASSIGNED: The discussion emphasizes the need for prompt diagnostic measures when signs indicate a vascular concern in a young patient, initiating with a radiograph followed by Doppler ultrasound and/or angiography to diagnose complications and precisely delineate their relationships with the tumor. Surgical intervention is underscored as urgent, particularly in cases involving arterial thrombosis, where immediate measures such as thrombectomy or bypass with a venous graft may be necessary.
CONCLUSIONS: Vascular complications associated with bone exostoses are rare but require prompt surgical treatment. However, it should prompt the performance of an angioscan in the presence of any abnormalities during clinical examination or an appearance raising concerns about potential vascular conflict.
METHODS: We report a rare case of a 25-year-old patient who presented with a red and swollen leg, and the diagnosis of deep venous thrombosis (DVT) of the left popliteal vein was established. The patient also exhibited a painless, hard swelling in the popliteal fossa. Radiography revealed an exostosis on the posterior aspect of the proximal tibia. An angioscan demonstrated close relations with the popliteal vessels, leading to venous compression. The patient underwent resection through a posterior knee approach. Histopathological analysis of the exostosis ruled out malignant transformation.
UNASSIGNED: The discussion emphasizes the need for prompt diagnostic measures when signs indicate a vascular concern in a young patient, initiating with a radiograph followed by Doppler ultrasound and/or angiography to diagnose complications and precisely delineate their relationships with the tumor. Surgical intervention is underscored as urgent, particularly in cases involving arterial thrombosis, where immediate measures such as thrombectomy or bypass with a venous graft may be necessary.
CONCLUSIONS: Vascular complications associated with bone exostoses are rare but require prompt surgical treatment. However, it should prompt the performance of an angioscan in the presence of any abnormalities during clinical examination or an appearance raising concerns about potential vascular conflict.
摘要：
■胫骨骨外生症（骨软骨瘤）是一种常见的良性骨肿瘤，通常在年轻人中发现。不常见,血管并发症可能出现，包括血管穿孔，血栓形成和动脉血栓栓塞事件。已记录了罕见的胫骨骨软骨瘤引起的the静脉血栓形成。
方法：我们报告了一例罕见的25岁患者，腿部红肿，并确定诊断为左骶静脉深静脉血栓形成(DVT)。患者还表现出无痛，在pop窝硬肿胀。射线照相术显示胫骨近端后部有外生骨。血管蛋白聚糖显示出与the血管的密切关系，导致静脉压迫.患者通过后膝关节入路进行了切除术。外生体的组织病理学分析排除了恶性转化。
■讨论强调，当体征表明年轻患者有血管问题时，需要及时采取诊断措施，首先进行X光检查，然后进行多普勒超声和/或血管造影，以诊断并发症并精确描绘其与肿瘤的关系。手术干预被强调为紧急，特别是在涉及动脉血栓形成的病例中，可能需要立即采取措施，如血栓切除术或静脉移植物旁路术。
结论：与骨外生骨相关的血管并发症很少见，但需要及时手术治疗。然而,在临床检查过程中出现任何异常或出现引起对潜在血管冲突的担忧时，它应提示血管聚糖的表现。
方法：我们报告了一例罕见的25岁患者，腿部红肿，并确定诊断为左骶静脉深静脉血栓形成(DVT)。患者还表现出无痛，在pop窝硬肿胀。射线照相术显示胫骨近端后部有外生骨。血管蛋白聚糖显示出与the血管的密切关系，导致静脉压迫.患者通过后膝关节入路进行了切除术。外生体的组织病理学分析排除了恶性转化。
■讨论强调，当体征表明年轻患者有血管问题时，需要及时采取诊断措施，首先进行X光检查，然后进行多普勒超声和/或血管造影，以诊断并发症并精确描绘其与肿瘤的关系。手术干预被强调为紧急，特别是在涉及动脉血栓形成的病例中，可能需要立即采取措施，如血栓切除术或静脉移植物旁路术。
结论：与骨外生骨相关的血管并发症很少见，但需要及时手术治疗。然而,在临床检查过程中出现任何异常或出现引起对潜在血管冲突的担忧时，它应提示血管聚糖的表现。
