Akashi Hidetoshi, Nata Shinichi, Kanaya Kurando, Shintani Yusuke, Onitsuka Seiji, Aoyagi Shigeaki
Department of Surgery, Kurume University School of Medicine, Kurume, Japan.
Ann Vasc Surg. 2010 Oct;24(7):952.e13-6. doi: 10.1016/j.avsg.2010.02.047. Epub 2010 Jul 6.
A 49-year-old man was referred to our hospital at 10 days after the onset of sudden intermittent claudication of the right lower limb and with right lower abdominal pain. Diagnosis by computed tomography scan and pelvic angiography was dissection from the common iliac artery to peripheral external iliac artery with thrombosed false lumen. Replacement of the common and external iliac artery was performed using a 10-mm Dacron prosthesis. A pathological examination of the right common iliac artery revealed an arterial disorder caused by fibromuscular dysplasia.
一名49岁男性在突发右下肢间歇性跛行并伴有右下腹痛10天后被转诊至我院。通过计算机断层扫描和盆腔血管造影诊断为从髂总动脉至外周髂外动脉夹层形成，假腔内有血栓形成。使用10毫米涤纶人工血管对髂总动脉和髂外动脉进行了置换。右侧髂总动脉的病理检查显示由纤维肌发育异常引起的动脉病变。
