Kim Hyung-Kee, Park Sujin, Hwang Deokbi, Huh Seung
Division of Vascular Surgery, Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Vasc Specialist Int. 2018 Mar;34(1):10-13. doi: 10.5758/vsi.2018.34.1.10. Epub 2018 Mar 31.
More than 700 adventitial cystic diseases (ACDs) have been reported in the literature, with most cases affecting the popliteal artery in young men. Here, we describe our treatment and etiologic consideration of a patient who presented with an ACD of the external iliac artery, known to be an extremely rare location. On preoperative imaging, the ACD had a connection to the nearby hip joint and was treated with resection of the affected segment, including ligation of the joint connection and interposition with a prosthetic graft. The pathogenesis of ACDs is not fully understood; however, we believe that joint connections are important in their development and treatment.
文献中已报道了700多例动脉外膜囊肿病（ACD），大多数病例累及年轻男性的腘动脉。在此，我们描述了一名患有髂外动脉ACD患者的治疗情况及病因分析，髂外动脉是极为罕见的发病部位。术前影像学检查显示，该ACD与附近髋关节相通，治疗方法为切除受累节段，包括结扎关节连接处并置入人工血管移植物。ACD的发病机制尚未完全明确；然而，我们认为关节连接处对其发生发展及治疗具有重要意义。
