Horn Christopher, Wang Victoria, Williams Michael, Jacobs Donald
Department of Surgery, Saint Louis University, St. Louis, MO.
Saint Louis University School of Medicine, St. Louis, MO.
Ann Vasc Surg. 2017 Apr;40:294.e11-294.e14. doi: 10.1016/j.avsg.2016.07.070. Epub 2016 Nov 24.
We report a massive infected pseudoaneurysm of the right external iliac artery in the setting of Girdlestone pseudoarthroplasty (GSA) for chronic infection. Around the time of her GSA, the patient underwent cardiac catheterization with resultant pseudoaneurysm formation. Infection was likely due to spread from her previous chronic infection. Delay in presentation occurred due to attribution of her symptoms to her GSA. The patient underwent ligation of the right external iliac artery and hip disarticulation and was discharged on antibiotics. At follow-up, she had significantly reduced pain. Although vascular complications from orthopedic procedures are well described, this case seems to have been caused by secondary infection of her iatrogenic external iliac artery pseudoaneurysm.
我们报告了一例在因慢性感染行吉尔德斯通假关节成形术（GSA）的情况下，右侧髂外动脉出现巨大感染性假性动脉瘤的病例。在患者接受GSA手术前后，她接受了心脏导管插入术，结果形成了假性动脉瘤。感染可能是由于先前慢性感染扩散所致。由于她将症状归因于GSA，导致就诊延迟。患者接受了右侧髂外动脉结扎和髋关节离断术，并在使用抗生素的情况下出院。随访时，她的疼痛明显减轻。虽然骨科手术引起的血管并发症已有充分描述，但该病例似乎是由医源性髂外动脉假性动脉瘤的继发感染引起的。
