Filis K, Kontos M, Pikoulis E, Bakoyannis C, Leppäniemi A, Bastounis E A
1st Department of Surgery, University of Athens Medical School, Laiko Hospital, Athens, Greece.
Acta Chir Belg. 2006 Jan-Feb;106(1):101-3. doi: 10.1080/00015458.2006.11679846.
The case of a 25-year-old man admitted with an ulnar artery aneurysm of the wrist is presented. The size of the aneurysm (1.5 x 2.7 cm) and progressive pain gave the impression of a threatened rupture. Radiologic examinations confirmed the existence of a non-thrombosed ulnar artery aneurysm with occlusion of the 4th and 5th digital arteries. During an urgent surgical exploration a pseudo-aneurysm was found and resected and the artery was repaired. Thrombolysis of the digital arteries was performed with a good result. The combination of a large-sized pseudo-aneurysm, lack of a history of penetrating trauma and presentation of threatened rupture are unique and not reported previously in the literature.
本文报告了一名25岁男性因腕部尺动脉动脉瘤入院的病例。动脉瘤大小为1.5×2.7厘米，且疼痛进行性加重，给人一种有破裂风险的印象。放射学检查证实存在一个非血栓性尺动脉动脉瘤，同时第四和第五指动脉闭塞。在紧急手术探查中，发现并切除了一个假性动脉瘤，并对动脉进行了修复。对指动脉进行了溶栓治疗，效果良好。大型假性动脉瘤、无穿透性创伤史以及有破裂风险的表现相结合，这种情况较为独特，此前文献中未见报道。
