PDF(Pubmed)
Abstract：
Scrotal edema and positional priapism are uncommon chief complaints with a scant differential. May-Thurner syndrome as well as inferior vena cava thrombosis are not often associated with these symptoms. This report outlines the case of a 50-year-old male who has undergone pulmonary artery thrombectomy and inferior vena cava filter placement. He presents with a chief complaint of scrotal swelling and positional priapism, likely low-flow priapism. Upon further work up, in-filter thrombosis was identified, likely attributed to a lack of anticoagulation and May-Thurner syndrome was diagnosed. The patient subsequently underwent thrombolysis and thrombectomy and was found to have May-Thurner syndrome which was treated with left iliac vein stenting.
摘要：
阴囊水肿和位置性阴茎异常是罕见的主要主诉，差异不大。May-Thurner综合征以及下腔静脉血栓形成通常与这些症状无关。本报告概述了一名50岁的男性，他接受了肺动脉血栓切除术和下腔静脉过滤器置入术。他主诉阴囊肿胀和位置性阴茎异常勃起，可能是低流量阴茎异常勃起。在进一步的工作中，确定了过滤器内血栓形成，可能归因于缺乏抗凝治疗和诊断为May-Thurner综合征.患者随后接受了溶栓和血栓切除术，发现患有May-Thurner综合征，并采用左髂静脉支架治疗。
