Mjåset B, Brøyn T, Høivik B
Tidsskr Nor Laegeforen. 1989 Apr 30;109(12):1273-5.
Following operation for aneurysm of the abdominal aorta two patients developed buttock necrosis. One procedure was elective and one was an emergency procedure. Patient 1 in addition developed paralysis of the leg on the same side as the buttock necrosis, while patient 2 in addition developed colon ischemia. Both patients died from these complications. Buttock necrosis and paralysis are rare complications after operation for abdominal aortic aneurysm. Regional ischemia of the left colon is a more common complication. The case report illustrates the importance of the pelvic-femoral collaterals. In addition we emphasize the importance of maintaining or restoring hypogastric circulation in order to prevent these complications.
腹主动脉瘤手术后，两名患者出现了臀部坏死。其中一台手术是择期手术，另一台是急诊手术。患者1除了出现与臀部坏死同侧的腿部麻痹外，患者2还出现了结肠缺血。两名患者均死于这些并发症。臀部坏死和麻痹是腹主动脉瘤手术后罕见的并发症。左半结肠局部缺血是一种更常见的并发症。该病例报告说明了盆腔 - 股侧支循环的重要性。此外，我们强调维持或恢复腹下循环以预防这些并发症的重要性。
