Falcone M-O, Benoit O, Dasnoy D, Strouk G, Polvèche G
Orthopedics and Traumatology Department, Sector B, Lille Universitary Hospital, 59037 Lille, France.
Chir Main. 2007 Apr;26(2):120-3. doi: 10.1016/j.main.2007.02.003. Epub 2007 Feb 23.
The authors report a rare case of a 51-years old woman presenting with cystic mucoid adventitial disease of the radial artery associated with a volar wrist ganglion. Imaging namely doppler sonography, magnetic resonance scanning and angio-MR was performed preoperatively because of a history of radial artery aneurysm in the opposite wrist. The radial artery was resected and the defect bridged by a venous autograft; the volar wrist ganglia was removed. Postoperative histological analysis confirmed mucoid adventitial cyst without communication with the volar wrist ganglion. Surgeons ought to be aware of this rare differential diagnosis (less than ten cases in the literature) in cases of preoperative or peroperative diagnostic doubt.
作者报告了一例罕见病例，一名51岁女性患有桡动脉囊性黏液样外膜疾病，并伴有掌侧腕部腱鞘囊肿。由于对侧手腕有桡动脉动脉瘤病史，术前进行了影像学检查，即多普勒超声、磁共振扫描和血管造影磁共振成像。切除了桡动脉，缺损处用自体静脉移植修复；切除了掌侧腕部腱鞘囊肿。术后组织学分析证实为黏液样外膜囊肿，与掌侧腕部腱鞘囊肿无相通。在术前或术中诊断存疑的情况下，外科医生应意识到这种罕见的鉴别诊断（文献中报道不足10例）。
