Bakkali Tarik, Hormatallah Mohamed, Bounssir Ayoub, Aghtoutane Nabil, Taous Hamza, Idrissi Redouane, Sefiani Yasser, Lekhel Brahim, Mesnaoui Abbes, Bensaid Younes
Service de chirurgie vasculaire périphérique, CHU Ibn Sina, Rabat, Morocco.
Service de chirurgie vasculaire périphérique, CHU Ibn Sina, Rabat, Morocco.
Ann Vasc Surg. 2018 Oct;52:313.e1-313.e3. doi: 10.1016/j.avsg.2018.03.039. Epub 2018 May 19.
Exostoses or osteochondromas are benign osseous tumors that develop on the bone surface and can be sporadic or hereditary. Their evolution is generally benign, but they may be complicated in some patients by conflicts with the surrounding nervous or vascular structures, in particular arteries. We report a case of false aneurysm of the popliteal artery secondary to an isolated exostosis of the left femur in a 20-year-old woman. A delay in the diagnosis allowed the development of the false aneurysm, which was at the origin of a major venous compression. The surgical treatment consisted in aneurysmectomy and reconstruction by end-to-end anastomosis associated with the resection of the osseous tumor, and the deep venous thrombosis was treated medically.
外生骨疣或骨软骨瘤是发生于骨表面的良性骨肿瘤,可散发或遗传。其发展通常为良性,但在某些患者中可能因与周围神经或血管结构(尤其是动脉)冲突而出现并发症。我们报告一例20岁女性,左股骨孤立性外生骨疣继发腘动脉假性动脉瘤。诊断延误导致假性动脉瘤形成,进而引起严重的静脉压迫。手术治疗包括动脉瘤切除术及端端吻合重建术,并切除骨肿瘤,同时对深静脉血栓进行药物治疗。