Agarwal Aanchal, Weerakkody Yuranga, Marshall Martin, Singh Tejinder
Department of Diagnostic and Interventional Imaging, Royal Perth Hospital, Perth, Western Australia, Australia.
Neurological Intervention and Imaging Service of Western Australia (NIISWA), Perth, Australia.
BMJ Case Rep. 2016 Dec 30;2016:bcr2016012802. doi: 10.1136/bcr-2016-012802.
We report an extremely unique and previously unreported case of a pseudoaneurysm arising from an intercostal artery that also gave origin to the artery of Adamkiewicz. Due to the potential risk of losing the artery of Adamkiewicz, a conservative approach was indicated. On short interval follow-up imaging, the pseudoaneurysm and associated hematoma spontaneously resolved with preservation of the intercostal artery. We performed a literature review of the natural course of pseudoaneurysm as well as their occurrence in the intercostal arteries.
我们报告了一例极为独特且此前未报道过的病例，即一个源自肋间动脉的假性动脉瘤，该肋间动脉同时也是Adamkiewicz动脉的起源。由于存在失去Adamkiewicz动脉的潜在风险，因此采取了保守治疗方法。在短期随访成像中，假性动脉瘤及相关血肿自行消退，肋间动脉得以保留。我们对假性动脉瘤的自然病程及其在肋间动脉中的发生情况进行了文献综述。
