Lee Jun Woo, Kim Suk, Kim Chang Won, Kim Kwang Ha, Jeon Tae Yong
Department of Radiology, College of Medicine, Pusan National University, 1-10, Ami-Dong, Seo-gu, Busan, 602-739, South Korea.
Emerg Radiol. 2006 Dec;13(3):147-9. doi: 10.1007/s10140-006-0524-6. Epub 2006 Oct 13.
There had been no previous reports of ruptured pseudoaneurysm of inferior phrenic artery shortly after blunt abdominal trauma. Traumatic arterial pseudoaneurysms are either iatrogenic or the result of penetrating injuries and one of the sequelae of trauma. Post-traumatic pseudoaneurysm develops at varying time intervals after the initial insult. To our knowledge, this is the first report of massive hemoperitoneum caused by ruptured inferior phrenic artery pseudoaneurysm after blunt trauma. Pseudoaneurysm of inferior phrenic artery in patient with diaphragm injury is potentially a life-threatening condition and requires urgent management. Diagnosis of ruptured inferior phrenic artery pseudoaneurysm is based on clinical assessment combined with radiological investigations. We report a case of ruptured left inferior phrenic artery pseudoaneurysm as one aspect of massive hemoperitoneum caused by blunt abdominal trauma.
此前并无钝性腹部创伤后不久出现膈下动脉假性动脉瘤破裂的相关报道。创伤性动脉假性动脉瘤要么是医源性的，要么是穿透伤的结果，是创伤的后遗症之一。创伤后假性动脉瘤在初始损伤后的不同时间间隔出现。据我们所知，这是首例关于钝性创伤后膈下动脉假性动脉瘤破裂导致大量腹腔积血的报道。膈肌损伤患者的膈下动脉假性动脉瘤可能是一种危及生命的情况，需要紧急处理。膈下动脉假性动脉瘤破裂的诊断基于临床评估并结合影像学检查。我们报告一例钝性腹部创伤导致大量腹腔积血，其中一个表现为左膈下动脉假性动脉瘤破裂的病例。
