Ahmad M, Vatish J, Willis A, Jones R, Melhado R
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
J Surg Case Rep. 2012 Aug 1;2012(8):15. doi: 10.1093/jscr/2012.8.15.
Pulmonary artery aneurysms (PAA) are rare. To date there are no cases in the literature describing formation secondary to oesophageal perforation. We present an unusual case of ruptured inflammatory segmental PAA. A patient with oesophageal squamous cell cancer presented with shortness of breath and sepsis following endoscopic dilatation of an oesophageal stricture. Imaging demonstrated oesophageal perforation and a pulmonary parenchymal collection containing an inflammatory PAA. Following initial conservative management, he then re-presented with haemoptysis secondary to PAA rupture. He was treated with embolisation using an Amplatzer® vascular plug (AVP) and went on to make an uneventful recovery.
肺动脉瘤（PAA）较为罕见。迄今为止，文献中尚无因食管穿孔继发形成肺动脉瘤的病例报道。我们报告一例罕见的炎症性节段性肺动脉瘤破裂病例。一名食管鳞状细胞癌患者在食管狭窄内镜扩张后出现呼吸急促和脓毒症。影像学检查显示食管穿孔以及肺实质内有一个包含炎症性肺动脉瘤的积液。在最初采取保守治疗后，患者因肺动脉瘤破裂再次出现咯血症状。随后使用Amplatzer®血管封堵器（AVP）对其进行栓塞治疗，患者最终顺利康复。
