Wiater J M, Farley F A
Columbia University Medical Center, New York, New York, USA.
Am J Orthop (Belle Mead NJ). 1999 Jul;28(7):412-6.
A male 17-year-old with multiple hereditary exostoses presented with a mass in the distal left thigh several days after lifting weights. An arteriogram showed a popliteal artery pseudoaneurysm adjacent to a femoral osteochondroma. The osteochondroma was excised and the artery was repaired with a saphenous vein interposition graft. A review of the literature identified 23 similar reports. The average age of the patients was 21.3 years. Seventy-eight percent were men and half of the patients had multiple hereditary exostoses. Ten patients were initially misdiagnosed. The clinician should consider the diagnosis of pseudoaneurysm in a young patient with an osteochondroma and a mass about the knee.
一名17岁男性，患有多发性遗传性骨软骨瘤，在举重几天后左大腿远端出现肿块。血管造影显示腘动脉假性动脉瘤毗邻股骨骨软骨瘤。切除骨软骨瘤，并用大隐静脉移植修复动脉。文献回顾发现了23篇类似报告。患者的平均年龄为21.3岁。78%为男性，一半患者患有多发性遗传性骨软骨瘤。10例患者最初被误诊。临床医生对于患有骨软骨瘤且膝关节周围有肿块的年轻患者应考虑假性动脉瘤的诊断。
