股动脉假性动脉瘤破裂入膀胱：一种罕见的表现。

Femoral pseudoaneurysm rupturing into urinary bladder: A rare presentation.

作者信息

Shrestha Kajan Raj, Luitel Bhoj Raj, Shrestha Ujma, Shrestha Uttam Krishna

机构信息

Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, IOM, Kathmandu, Nepal

Department of Urology, Tribhuwan University Teaching Hospital, IOM, Kathmandu, Nepal.

出版信息

J Surg Case Rep. 2015 Apr 17;2015(4):rjv045. doi: 10.1093/jscr/rjv045.

DOI:10.1093/jscr/rjv045

PMID:25887167

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4400530/

Abstract

Femoral pseudoaneurysm is a common occurrence in intravenous drug abuser due to repeated trauma to the femoral artery causing arterial leak contained by the surrounding tissue and does not contain all the layers of arterial wall. Rupture of these aneurysm to exterior is a common presentation while rupture into surrounding structure deemed an emergency surgical attention. Hence, we report an unusual case of rupture of femoral pseudoaneurysm into urinary bladder who presented us with history of hematuria and was successfully managed.

摘要

股动脉假性动脉瘤在静脉药物滥用者中很常见，这是由于股动脉反复受到创伤，导致动脉血液渗漏并被周围组织包裹，且不包含动脉壁的所有层次。这些动脉瘤破裂至体外是常见表现，而破裂入周围结构则被视为需要紧急手术处理。因此，我们报告一例不寻常的股动脉假性动脉瘤破裂入膀胱的病例，该患者有血尿病史，且得到了成功治疗。