Ishii Hirohito, Nakamura Kunihide, Nakamura Eisaku, Endo George, Furukawa Koji, Shirasaki Yukie, Mori Hiroki
Department of Surgery, Division of Cardiovascular Surgery, University of Miyazaki, Miyazaki, Miyazaki, Japan.
Ann Vasc Dis. 2016;9(4):349-351. doi: 10.3400/avd.cr.16-00030. Epub 2016 Nov 21.
Blunt aortic injures are rarely associated with minimal trauma. We present a 78-year-old man with an aortic pseudoaneurysm resulting from a simple vertebral compression fracture, which was conservatively managed. He was diagnosed with a compression fracture from a minor fall 10 days previously, and fortuitously he visited the hospital after which follow-up computed tomography (CT) for previous multiple aortic surgeries was performed. The enhanced CT revealed a pseudoaneurysm on the abdominal aorta, which was bleeding from a pinhole perforation. He was conservatively treated and follow-up CT 9 months later revealed that the pseudoaneurysm had disappeared.
钝性主动脉损伤很少与轻微创伤相关。我们报告一名78岁男性，因单纯椎体压缩骨折导致主动脉假性动脉瘤，采用保守治疗。他在10天前因轻微跌倒被诊断为压缩骨折，随后因之前多次主动脉手术进行随访计算机断层扫描（CT）而偶然就诊。增强CT显示腹主动脉有一个假性动脉瘤，从一个针孔穿孔处出血。对其进行了保守治疗，9个月后的随访CT显示假性动脉瘤已消失。
