Dympep B, Khangarot S, Hadke N
Maulana Azad Medical College, New Delhi, India.
J Surg Case Rep. 2012 Oct 1;2012(10):17. doi: 10.1093/jscr/2012.10.17.
Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to shoulder region. We report here a unique case of delayed presentation of axillary artery pseudoaneurysm after a blunt injury, clinically mimicking soft tissue tumor without evidence of gross bony injury. The gentleman presented after six months of injury with a progressively growing mass in left axillary region and neurological deficit. Ultimate management of the lesion was surgical resection and Saphenous vein graft interpositioning. Unfortunately the lack of subsequent neurological recovery parallels some of the findings in the literature, from cases where decompression of the brachial plexus was not undertaken soon enough.
腋动脉创伤性假性动脉瘤是肩部区域损伤的一种罕见后遗症。我们在此报告一例钝性损伤后腋动脉假性动脉瘤延迟出现的独特病例，临床上表现为软组织肿瘤，无明显骨损伤迹象。该患者在受伤六个月后出现左腋窝区域逐渐增大的肿块及神经功能缺损。对该病变的最终治疗是手术切除并进行大隐静脉移植。不幸的是，患者随后神经功能未恢复，这与文献中一些病例的情况相似，即臂丛神经减压未及时进行。
