Segmentäre inkomplette Thrombose der Vena poplitea durch Kompression eines Osteochondroms am distalen Femur

Zusammenfassung

Venöse Thrombosen der unteren Extremitäten bei Kindern und in der Adoleszenz sind selten (0,07/10 000 Kindern) (1) und können verschiedene Ursachen haben. Ein ätiologischer Faktor ist die Kompression von außen. Vorgestellt wird ein 16-jähriger Junge der durch Kompression eines Osteochondroms des Femurs eine Phlebothrombose der V. poplitea erlitten hatte und durch operative Exostosenabtragung und Thrombektomie geheilt wurde.

Ergänzend stellen wir die aktuelle Literatur bezüglich arterieller und venöser Gefäßkomplikation durch gleichzeitiges Vorliegen einer Exostose vor.

Summary

Osteochondromas are the most common benign tumor of the bone. They are sometimes responsible for vascular complications involving either veins or arteries, principally around the knee. Venous thrombosis of the lower extremities in children and adolescents are rare (0.07/10,000 children) (1) and have various causes. An etiological factor is external compression. We present a 16 year old boy with an osteochondroma of the femur associated with deep vein thrombosis (DVT) of the popliteal vein. The patient was treated by surgical thrombectomy and resection of the osteochondroma. A review of literature through a computerized research was performed.

Surgical treatment of vascular complications of osteochondromas is recommended as an urgent procedure to avoid irreversible damages, such as arterial occlusion, embolism, or phlebitis. Prophylactic resection of osteochondromas in the vicinity of a vessel must be performed.

Schlüsselwörter

Venöse Thrombose - Osteochondrom

Keywords

deep vein thrombosis - osteochondroma

• Literatur

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