Rainio Pekka, Biancari Fausto, Leinonen Sami, Juvonen Tatu
Department of Cardio-thoracic and Vascular Surgery, University of Oulu, Oulu, Finland.
J Pediatr Surg. 2003 Nov;38(11):1699-700. doi: 10.1016/j.jpedsurg.2003.08.002.
Arterial aneurysms in children are extremely rare and can be of congenital, inflammatory, and infectious nature or secondary to trauma. The authors describe the case of a 8-year-old boy who was admitted in the hospital with fever and severe groin pain. He had a true saccular aneurysm of 4 cm in diameter originating from the profunda femoris artery with, according to the clinical and angiographic findings, arteriovenous communication with the femoral veins. Because the aneurysm was firmly adherent to the deep femoral vein, the latter was resected and the venous continuity was restored with a saphenous vein bypass graft. The patient recovered without any complication. The histologic examination showed a normal intimal layer and partially disrupted medial elastic fibers without inflammatory infiltrate, suggesting the diagnosis of a true arterial aneurysm.
儿童动脉性动脉瘤极为罕见，可为先天性、炎症性、感染性或继发于创伤。作者描述了一名8岁男孩的病例，该男孩因发热和严重腹股沟疼痛入院。他有一个直径4厘米的真性囊状动脉瘤，起源于股深动脉，根据临床和血管造影结果，与股静脉存在动静脉交通。由于动脉瘤与股深静脉紧密粘连，遂切除股深静脉，并用大隐静脉搭桥恢复静脉连续性。患者康复，无任何并发症。组织学检查显示内膜层正常，中层弹性纤维部分断裂，无炎症浸润，提示为真性动脉瘤。
