Moss Aj, Valenti D, Fraser Sc, Murie J
Queen Elizabeth Hospital, Norfolk, UK.
J Surg Case Rep. 2011 Oct 1;2011(10):9. doi: 10.1093/jscr/2011.10.9.
Traumatic pseudoaneurysm of the axillary artery is a rare sequel of shoulder injury. We report here a unique phenomenon of delayed presentation axillary pseudoaneurysm some time after an initial blunt injury, with no evidence of gross bony injury. The gentleman presented again some weeks later after a failure of rehabilitation and progressive neurological deficit in the affected arm. Ultimate management of the lesion was by endovascular insertion of a covered stent, and decompression of the axilla. Unfortunately the lack of subsequent neurological recovery parallels some of the findings in the literature, from cases where relief of the brachial plexus was not undertaken soon enough.
腋动脉创伤性假性动脉瘤是肩部损伤罕见的后遗症。我们在此报告一种独特现象，即初始钝性损伤后一段时间出现延迟性腋部假性动脉瘤，且无明显骨质损伤迹象。这位先生在康复失败且患侧手臂出现进行性神经功能缺损数周后再次就诊。该病变最终通过血管腔内植入覆膜支架及腋窝减压进行治疗。不幸的是，后续神经功能未恢复，这与文献中一些病例的发现相似，这些病例中臂丛神经减压未及时进行。
