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Saturday, 12 March 2011 18:41

Anévrisme de l'artère iliaque primitive gauche, fistule artérioveineuse ilio-cave post traumatique Featured

Written by  jamel MOUHLI
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    Patient de 56 ans aux antecèdant  d'un accident de la voie publique il y a un an avec polytraumatisme(fracture du bassin) et traumatisme  cranien sans perte de connaissance présentant une symptomatologie de troubles respiratoires , avec signe d'hypertention artèriel pulmonaire, (coeur droit) , turgescance des jugulaires ,hépatomégalie,stase veineuse dyspnée de repos avec cyanose, oedeme du membre inférieur gauche (éléphantiasis), souffle avec thrill sur le fanc droit (patient maigre 65 kg) les signes d'embole pulmonaire sont évoqué l'echodoppler artérioveineux ne montre pas de signes de thrombose veineuse profonde , il existe une dilatation de la veine cave 9.5cm et de la veine iliaque 30mm, avec un flux artèriel (turbulence ,accélération,  ), l'aorte est permeable et de calibre normal ,il existe une dilatation anévrismale de l'iliaque primitive gauche de 28mm de diamètre ,visualisation d'une fistule iliaque-veine cave gauche  à l'echodoppler couleur, les cavités cardiaques ventricule droit présente une dilatation avec hypertrophie ventriculaire droite, une hépatomégalie dilatation des veines sus hépatiques L'Angioscanner hélicoïdal l'angioIRM confirme le diagnostic
Last modified on Saturday, 12 November 2011 19:33

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