:a Case Report

概要

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Hyperostomy syndrome have been first described by Pratesi in 1957 as an arteriovenular disease that simulates an ischemic arterial disease, but without evident signs of occlusive arterial disease. Malan, Mayall and other authors have also presented this syndrome.Two clinical pattern has been described;•Primary: of unknown origin•Secondary: appearing together with the some organic disease of arteries, veins and lymphatic vesselsA fourty-four years old man was examined at our clinic with the complaint of swelling of his right leg. Circumferences of his legs were 38. 5 centimeters on the right and 35.0 centimeters on the left. The arteriogram of his right leg revealed as follows;•Delayed filling of contrast medium to the posterial tibial artery, anterior tibial artery and fibular artery.•Many abnormal branches derived from main arteries of his right leg.He was diagnosed as primary hyperostomy syndrome.He have been treated with wearing elastic stocking. Difference of the circumferences between his both legs decreased to 1.5 centimeters and he has no complaint on his right leg.
西日本整形・災害外科学会の論文