Department of Neurosurgery, Tokushima Red Cross Hospital, 103 Irinoguchi, Komatsushima-cho, Komatsushima-shi, Tokushima 773-8502, Japan.
Am J Surg. 2010 Jan;199(1):e1-2. doi: 10.1016/j.amjsurg.2009.03.022. Epub 2009 Sep 25.
An 83-year-old man reported falling and bumping his right lateral forehead on the ground 3 weeks previously. Physical examination revealed a soft, reddish swelling on the lateral forehead. Computed tomography confirmed a hematoma of the right lateral forehead. On the seventh hospital day, the swelling showed slight enlargement. Re-examination revealed a pulsatile mass with a palpable thrill and systolic bruit. Doppler echo showed pulsation of the swelling, which disappeared with compression of the anterior branch of the superficial temporal artery (STA). Surgical exploration was performed, and the pseudoaneurysm was resected. Pathological findings confirm a pseudoaneurysm.
一位 83 岁男性报告称，3 周前他摔倒并右侧额侧碰到地面。体格检查发现额侧有一处柔软、微红的肿胀。计算机断层扫描证实右侧额侧有血肿。入院第 7 天，肿胀稍有增大。再次检查发现有可触及震颤和收缩期杂音的搏动性肿块。多普勒超声显示肿胀有搏动，压迫颞浅动脉（STA）前支后搏动消失。行手术探查，切除假性动脉瘤。病理检查证实为假性动脉瘤。
