Golden R L, Bauman J, Johnstone M, Pindyck F
School of Medicine, State University of New York (SUNY), Stony Brook.
Angiology. 1988 Jul;39(7 Pt 1):620-4. doi: 10.1177/000331978803900710.
Aneurysms of the hypogastric artery are rare occurrences that are frequently asymptomatic until the time of rupture. When signs and symptoms are present, a pulsatile pelvic mass, frequently detected by rectal or vaginal examination, may produce compression symptoms with urologic, gastrointestinal, and neurologic manifestations. In addition to classical invasive methods of detection such as angiography, newer noninvasive imaging techniques, including ultrasonography, computerized tomography, and magnetic resonance imaging, may be employed to establish the diagnosis. Proximal ligation of the hypogastric artery is the usual method of treatment. A case of bilateral, giant hypogastric artery aneurysms with successful surgical management is reported.
腹下动脉瘤很少见，在破裂之前通常没有症状。当出现体征和症状时，常通过直肠或阴道检查发现的搏动性盆腔肿块可能会产生伴有泌尿系统、胃肠道和神经系统表现的压迫症状。除了传统的侵入性检测方法如血管造影外，还可采用包括超声检查、计算机断层扫描和磁共振成像在内的更新的非侵入性成像技术来确诊。腹下动脉近端结扎是常用的治疗方法。本文报道了一例成功进行手术治疗的双侧巨大腹下动脉瘤病例。
