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创伤后肺动脉假性动脉瘤的自发消退:两例报告

Spontaneous resolution of post-traumatic pulmonary artery pseudoaneurysm: Report of two cases.

作者信息

Goel Sandeep, Kumar Atin, Gamanagatti Shivanand, Gupta Amit

机构信息

Department of Radiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Lung India. 2013 Jul;30(3):203-5. doi: 10.4103/0970-2113.116262.

Abstract

Pulmonary artery aneurysm is a rare clinical entity with congenital or mycotic origin being most common causes. Post-traumatic pulmonary pseudoaneurysms are extremely rare. Unless diagnosed early and properly managed, these can be fatal. Only few cases have been reported in the literature with most (except the one) being diagnosed much later after the initial injury and managed surgically. Only one case has been reported following blunt trauma injury, which was diagnosed immediately using computed tomography scan and managed conservatively. Here, we report two cases of pulmonary artery pseudoaneurysm one following gunshot injury and other following blunt injury which was diagnosed on contrast enhanced computed tomography chest and managed conservatively.

摘要

肺动脉瘤是一种罕见的临床病症,先天性或霉菌性起源是其最常见的病因。创伤后肺假性动脉瘤极为罕见。除非早期诊断并妥善处理,否则这些病症可能会致命。文献中仅报道了少数病例,大多数(除了一例)在初始损伤后很久才被诊断出来并接受手术治疗。钝性创伤后仅报道了一例,通过计算机断层扫描立即诊断并采取保守治疗。在此,我们报告两例肺动脉假性动脉瘤病例,一例为枪伤后,另一例为钝性伤后,均通过胸部对比增强计算机断层扫描诊断,并采取保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a207/3775200/3b61e462c7ce/LI-30-203-g001.jpg

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