Dahapute Aditya Anand, Gala Rohan Bharat, Dhar Sanjay B, Viranii Siddharth, Vaishnav AvaniSudhir
Department of Orthopaedics, Seth GordhandasSunderdas Medical College, Mumbai, Maharashtra, India.
Department of Orthopaedics, D.Y. Patil Medical College, Mumbai, Maharashtra, India.
J Orthop Case Rep. 2017 Nov-Dec;7(6):3-5. doi: 10.13107/jocr.2250-0685.922.
Pseudoaneurysms of arteries are not uncommon complications of vessel handling during surgery. Early identification and management is important to prevent disastrous complications such as rupture and thrombosis.
We describe a case of a 28-year-old male who developed a pseudoaneurysm of the radial artery after being operated by plating for a mid-shaft radius fracture. He presented 2 weeks after surgery with swelling over the forearm which was confirmed to be a pseudoaneurysm after computed tomography angiography. It was treated with surgical excision and end-to-end anastomosis.
A high index of suspicion must be maintained about the occurrence of this complication secondary to both trauma and surgery.
动脉假性动脉瘤是手术中血管操作并不罕见的并发症。早期识别和处理对于预防诸如破裂和血栓形成等灾难性并发症很重要。
我们描述了一例28岁男性患者，其因桡骨干骨折行钢板内固定手术后发生了桡动脉假性动脉瘤。他在术后2周出现前臂肿胀，经计算机断层血管造影证实为假性动脉瘤。通过手术切除和端端吻合进行了治疗。
对于创伤和手术后继发的这种并发症的发生必须保持高度怀疑。
