"Looking at the leg this time, I did not expect that the cystitis and pelvic inflammatory disease that have been cured for many years have been cured, and the defecation problem has also been solved. Now I am relaxed. Thank you very much." A few days ago, Ms. Wang was hospitalized with swelling of her left lower limb. Before being discharged from the hospital, I expressed my heartfelt gratitude to Wang Guiming, director of the Department of Vascular Surgery of Department of General Surgery, the First Hospital of Shanxi Medical University.
Ms. Wang is 54 years old. She suffered from deep vein thrombosis of the lower extremity more than ten years ago. She did not receive formal anticoagulation treatment at the time. Later, she experienced repeated swelling of the left lower extremity, as well as lower abdominal pain, frequent urination, urgency, and anal fall. He was admitted to the Department of General Surgery Department of Vascular Surgery of the First Hospital of Shanxi Medical University because of symptoms such as bloating and difficulty defecation.
After examination, it was found that Ms. Wang suffered from iliac vein compression syndrome, also known as Cockett syndrome. This syndrome is an important underlying factor for secondary iliac- femoral vein thrombosis. It is precisely because of this that Ms. Wang suffered from deep vein thrombosis of the lower extremities many years ago. At that time, the irregular anticoagulation treatment led to the occurrence of post-thrombotic syndrome. Not only lower limb blood reflux disorder, venous valve destruction, limb swelling, skin pigmentation, but also a series of pelvic stasis such as lower abdominal pain , frequent urination, urgency, anal bulging, difficulty defecation, etc. Symptoms of blood syndrome. Because the exact cause was not found, Ms. Wang has been following ordinary cystitis and pelvic inflammatory treatments for many years to no effect.
Director Wang Guiming of Vascular Surgery used DSA imaging to clarify the problem of Ms. Wang, and a stent implanted in the left iliac vein solved Ms. Wang's pain. The urination symptoms improved on the second day after the operation, and the bowel movement went smoothly on the fourth day after the operation. Ms. Wang said happily: "How many years have not been so smooth."
Pelvic congestion syndrome is one of the important causes of gynecological pelvic pain , Is also one of the causes of female infertility. About 1/3 of patients have obvious urinary frequency and painful urination symptoms during the premenstrual period. Urinary tract infection is often suspected, but urine routine examination is normal. Some patients have varying degrees of rectal falling sensation, rectal pain, or rectal pain during defecation. They are often misdiagnosed as chronic pelvic inflammatory disease or chronic adnexitis and can not be cured for a long time. If it hadn't been for the vascular surgery for lower extremity swelling, Ms. Wang would never have thought that her unspeakable concealment was such a thing.
For women with difficult to relieve gynecological pelvic pain, you can consider vascular surgery for diagnosis and treatment. Color vascular ultrasound, CT angiography, digital subtraction angiography (DSA) can determine the cause of pelvic stasis and whether there is Cockett syndrome. Interventional therapy, that is, inserting a stent into the narrow venous lumen, and reopening the narrow blood vessel with the support of the stent, so that the venous blood can flow smoothly, and the clinical symptoms are relieved. Because of the small trauma and good effect, it has become this disease. The first choice. (Editor in charge: Platinum Correspondent Liang Fang)
