Seifert Sven, Denz Axel, Dittert Dag-Daniel D, Saeger Hans D
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Dresden, Dresden, Germany.
J Vasc Surg. 2007 Sep;46(3):572-3. doi: 10.1016/j.jvs.2007.03.042.
True aneurysms of the epigastric artery are rare. We report a case of a 65-year-old female who was admitted for increasing upper abdominal pain. A leukocytosis, pyrexia, breathing stop on inspiration, and a palpable mass next to the right costal arch with severe local pain were suspicious for acute cholecystitis. Surprisingly, sonography and CT scan revealed a 5 x 4 cm structure limited to the abdominal wall directly above the gallbladder, which showed an arterial flow in the duplex scan. After resection and an uneventful postoperative course, the histological findings confirmed the diagnosis of a symptomatic true atherosclerotic aneurysm.
腹壁动脉真性动脉瘤罕见。我们报告一例65岁女性，因上腹部疼痛加重入院。白细胞增多、发热、吸气时呼吸暂停，右肋弓旁可触及肿块且伴有严重局部疼痛，怀疑为急性胆囊炎。令人惊讶的是，超声和CT扫描显示一个5×4厘米的结构，局限于胆囊上方的腹壁，在双功扫描中显示有动脉血流。切除术后恢复顺利，组织学检查结果证实为有症状的真性动脉粥样硬化性动脉瘤。
