创伤性髂总静脉假性动脉瘤的保守治疗：一例报告

Conservative management of a traumatic common iliac venous pseudoaneurysm: a case report.

作者信息

Lyons Walker, Harfouche Melike, Lopez Joseph

机构信息

Lewis Katz School of Medicine at Temple University, Philadelphia, PA 19140, USA.

General Surgery, Temple University Hospital, Philadelphia, PA 19140, USA.

出版信息

J Surg Case Rep. 2017 May 23;2017(5):rjx085. doi: 10.1093/jscr/rjx085. eCollection 2017 May.

DOI:10.1093/jscr/rjx085

PMID:28560026

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5441254/

Abstract

Limited evidence-based protocols exist regarding the management of venous pseudoaneurysms. Cases reports have documented surgical treatments including endovascular coil embolization or suture ligation in the setting of hemodynamic stability. Depending on the location of the venous injury, a more conservative approach to a stable pseudoaneurysm may be advantageous. This report describes a case of a patient who sustained a blunt traumatic common iliac vein pseudoaneurysm who was successfully managed non-operatively.

摘要

关于静脉假性动脉瘤的管理，基于证据的方案有限。病例报告记录了在血流动力学稳定情况下的手术治疗，包括血管内弹簧圈栓塞或缝合结扎。根据静脉损伤的位置，对于稳定的假性动脉瘤采用更保守的方法可能是有利的。本报告描述了一例钝性创伤性髂总静脉假性动脉瘤患者，该患者通过非手术治疗成功治愈。