Ayane G N, Walsh M, Prozesky D, Kadimo K
Department of Surgery, Faculty of Medicine, University of Botswana, Botswana.
Department of Medical Education, Faculty of Medicine, University of Botswana, Botswana.
Trauma Case Rep. 2018 Jul 19;16:8-11. doi: 10.1016/j.tcr.2018.07.004. eCollection 2018 Aug.
We describe a patient in whom a stab wound to the right supraclavicular fossa led to a subclavian artery false aneurysm and an arterio-venous fistula (AVF) between the right subclavian artery and the right internal jugular vein. The diagnosis was made clinically and with computerised tomographic angiography (CTA). Open vascular repair was successful. We postulate that this presentation was the result of the knife being inserted then partly withdrawn and reinserted at a different angle. This pattern of injury has been reported previously following central venous line insertion, but rarely following a stab injury.
我们描述了一名患者，其右锁骨上窝刺伤导致锁骨下动脉假性动脉瘤以及右锁骨下动脉与右颈内静脉之间形成动静脉瘘（AVF）。通过临床诊断及计算机断层血管造影（CTA）确诊。开放性血管修复手术成功。我们推测，这种情况是由于刀插入后部分拔出，然后以不同角度重新插入所致。此前在中心静脉置管后曾报道过这种损伤模式，但在刺伤后很少见。
