Azghari A, Bouayad M, Belmir H, Tijani Y, Bouziane Z, Idrissi R, El Mahi O, Lekehal B, Sefiani Y, El Mesnaoui A, Ammar F, Bensaid Y
Service de chirurgie vasculaire, hôpital Ibn Sina, MA-10104 Souissi, Rabat, Maroc.
J Mal Vasc. 2010 Jul;35(4):254-8. doi: 10.1016/j.jmv.2010.03.007. Epub 2010 Apr 15.
We report a case of a 20-year-old-man who was admitted to our hospital through the emergency room for a swelling of the right thigh, which had appeared spontaneously without fever. The physical exam was highly suggestive of a vascular mass. The arterial CT scan of the right lower limb revealed a pseudo-aneurysm of a branch of the deep right femoral artery. The diagnosis of vascular type of Ehlers Danlos syndrome was established on clinical criteria. The successful management was surgical by the excision of the pseudoaneurysm and the ligation of the feeding branch that supplied the pseudoaneurysm. The postsurgical follow-up was uneventful and the clinical course was smooth with no further complications.
我们报告一例20岁男性患者,因右大腿肿胀经急诊入院。肿胀自发出现,无发热。体格检查高度提示为血管性肿物。右下肢动脉CT扫描显示右股深动脉一分支假性动脉瘤。根据临床标准确诊为血管型埃勒斯-当洛综合征。成功的治疗方法是手术切除假性动脉瘤并结扎供应假性动脉瘤的供血分支。术后随访无异常,临床过程顺利,无进一步并发症。