ABSTRACT
La trombosis venosa profunda es 5 veces más frecuente en mujeres gestantes o puérperas, pero con las mismas complicaciones a largo plazo. Aquí ilustramos un caso de una trombosis venosa ilíaca izquierda durante el posparto inmediato, persistente, con desarrollo de abundante circulación colateral compensatoria (Palmaz), y con hallazgo de fístula arteriovenosa en femoral común, posteriormente diagnosticada por ecografía, y confirmado por angio-TC, sin empeoramiento del síndrome postrombótico de la paciente. Se trata de un caso, en el cual casi no hay referencias bibliográficas, con etiopatogenia atribuible a la cascada de moléculas proinflamatorias y proangiogénicas derivadas de la remodelación, recanalización del trombo venoso y desarrollo de circulación colateral, afectando dichas moléculas a los vasa vasorum y los vasos de alrededor, dando lugar a fístulas arteriovenosas, hecho poco frecuente, y generalmente poco sintomáticas
Deep vein thrombosis is five times more common in pregnant women or new mothers, but with the same long-term complications. We present a case of early postpartum persistent left iliac vein thrombosis with abundant development of compensatory collateral circulation (Palmaz) and common femoral arteriovenous fistula subsequently diagnosed by ultrasound and confirmed by CT angiography, with no deterioration of the patient's post-thrombotic syndrome. This is a case with very few references in the scientific literature, with pathogenesis attributable to the cascade of pro-inflammatory and pro-angiogenic molecules derived from remodelling, recanalisation of the venous thrombus and development of collateral circulation. These molecules invade the vasa vasorum and surrounding vessels, which can, on rare occasions, lead to generally asymptomatic arteriovenous fistulas
Subject(s)
Humans , Female , Pregnancy , Adult , Arteriovenous Fistula/complications , Arteriovenous Fistula/diagnostic imaging , Venous Thrombosis/diagnostic imaging , Venous Thrombosis/etiology , Risk Factors , Collateral Circulation/radiation effects , Postpartum Period , Incidental FindingsABSTRACT
No disponible
Subject(s)
Humans , Male , Aged, 80 and over , Iliac Aneurysm/diagnosis , Sciatica/diagnosis , Nerve Compression Syndromes/diagnosis , Watchful Waiting , Hamstring Muscles/injuriesSubject(s)
Adolescent Medicine/standards , Confidentiality , Informed Consent , Pediatrics/standards , Adolescent , Child , Humans , SpainABSTRACT
Little has been published concerning female soldiers' health care during combat. Therefore, a retrospective review of the Eighth Evacuation Hospital's gynecological records was performed while involved in Operation Desert Shield/Storm. Additionally, a health care survey was distributed to female soldiers. This review revealed that a large part of the hospital's gynecological resources during this conflict were employed treating preventable conditions. These problems could have been avoided if appropriate measures had been taken prior to deployment. It was concluded that all female soldiers should be required to undergo a gynecological health care screen prior to deployments.
