Bayarogullari Hanifi, Yanmaz Rasim, Kartal İsmail, Burakgazi Gülen
Department of Radiology, Mustafa Kemal University School of Medicine, Serinyol, Antakya, 31120, Hatay, Turkey.
Gaziantep Özel Sevgi Hastahanesi, Eyyüpoğlu Mahallesi, Rauf Yılmazer Caddesi No:16, 27027, Şahinbey, Gaziantep, Turkey.
Childs Nerv Syst. 2016 Nov;32(11):2233-2237. doi: 10.1007/s00381-016-3075-5. Epub 2016 Apr 16.
Due to their locations, vertebral arteries (VA) are structures that are rarely injured after traumas. Formation of vertebral pseudo-aneurysm (PA) because of pieces of shrapnel is also rare. It causes clinical findings like cervical mass after the injury CASES PRESENTATION: Two Syrian 12- and 17-year-old male patients were admitted to the Department of Ear, Nose and Throat with the complaint of swelling in the left lower cervical region. In their USG examination which was ordered to investigate the cervical lesion, a lesion consistent with PA which shows a prominently thick wall structure due to circumferential thrombus formation and fibrotic tissue, chaotic flow, and ying-yang appearance in the centrally located cavity of the lesion in a color Doppler examination was detected. Later, multi-detector computed tomography angiography (MDCTA) was planned to demonstrate pseudo-aneurysms (PAs).
Because there was no report on the development of giant pseudo-aneurysms secondary to shrapnel injury to date and because we thought these cases are demonstrative, we found the cases suitable for presenting as case reports.
由于椎动脉（VA）的位置关系，其在创伤后很少受伤。因弹片导致椎动脉假性动脉瘤（PA）形成的情况也很罕见。它会导致受伤后出现颈部肿块等临床表现。
两名叙利亚12岁和17岁男性患者因左下颌颈部肿胀主诉入住耳鼻喉科。为调查颈部病变而进行的超声检查中，发现一个与PA相符的病变，在彩色多普勒检查中，该病变因环形血栓形成和纤维组织而显示出明显增厚的壁结构、紊乱血流以及病变中心腔的阴阳外观。后来，计划进行多排螺旋计算机断层血管造影（MDCTA）以显示假性动脉瘤（PA）。
由于迄今为止尚无关于弹片伤继发巨大假性动脉瘤形成的报道，且我们认为这些病例具有示范意义，所以我们认为这些病例适合作为病例报告呈现。
