Matsushima Kazuhide, Takara Hiroaki
Department of Surgery, Okinawa Prefectural Chubu Hospital, 281 Miyazato, Uruma, Okinawa, 904-2293, Japan.
Surg Today. 2009;39(6):523-6. doi: 10.1007/s00595-008-3881-9. Epub 2009 May 27.
This report presents the case of a 27-year-old woman with a history of Ehlers-Danlos syndrome Type IV (EDS-IV) who suffered from acute compartment syndrome caused by the spontaneous rupture of the posterior tibial artery. Bleeding control was achieved by endovascular embolization. A fasciotomy was successfully performed without any trouble with hemorrhaging. Endovascular treatment could therefore represent the ideal option for treating infrapopliteal lesions, particularly for EDS-IV patients.
本报告介绍了一名27岁患有IV型埃勒斯-当洛综合征(EDS-IV)的女性病例,该患者因胫后动脉自发性破裂而发生急性骨筋膜室综合征。通过血管内栓塞实现了出血控制。成功进行了筋膜切开术,未出现任何出血问题。因此,血管内治疗可能是治疗腘动脉以下病变的理想选择,特别是对于EDS-IV患者。