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孤立性股总动脉瘤:一例报告。

Isolated common femoral artery aneurysm: a case report.

作者信息

Sharma Saurabh, Nalachandran Sanjay

机构信息

Department of General Surgery, Tan Tock Seng Hospital Jalan Tan Tock, Singapore-308433.

出版信息

Cases J. 2009 May 8;2:7522. doi: 10.1186/1757-1626-2-7522.

Abstract

INTRODUCTION

Isolated aneurysm of common femoral artery is a rare occurrence. They may mimic other common conditions like groin lymph nodes or groin hernia.

CASE PRESENTATION

Here we present a case of 61-years-old Chinese gentleman who presented with a right groin lump, which was suspected to be groin hernia but turned out common femoral artery aneurysm. The aneurysm was surgically excised and a prosthetic vascular repair was done.

CONCLUSION

Isolated common femoral artery aneurysms are rare and can mimic groin hernias, so one must be careful. Color Doppler is the investigation of choice. Best treatment modality is surgical excision with repair with or without graft for aneurysms > 2.5 cm.

摘要

引言

股总动脉孤立性动脉瘤较为罕见。它们可能会被误诊为其他常见病症,如腹股沟淋巴结或腹股沟疝。

病例报告

在此,我们报告一例61岁的中国男性患者,其因右侧腹股沟肿块就诊,最初怀疑为腹股沟疝,但最终诊断为股总动脉动脉瘤。该动脉瘤通过手术切除,并进行了人工血管修复。

结论

股总动脉孤立性动脉瘤罕见,且可能类似腹股沟疝,因此必须谨慎诊断。彩色多普勒超声是首选的检查方法。对于直径大于2.5 cm的动脉瘤,最佳治疗方式是手术切除并进行修复,可选择使用或不使用移植物。

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