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经股动脉导管插入术后阴囊血肿伴假性动脉瘤

Scrotal hematoma with pseudo-aneurysm after transfemoral catheterization.

作者信息

Hung Fong Suy Sen, Jaafar Sahned, Misra Subhasis, Narasimha Vijay

机构信息

General Surgery, Brandon Regional Hospital, Brandon FL, USA.

出版信息

J Surg Case Rep. 2019 Feb 13;2019(2):rjy310. doi: 10.1093/jscr/rjy310. eCollection 2019 Feb.

DOI:10.1093/jscr/rjy310
PMID:30792838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6372879/
Abstract

Transfemoral catheterization continues to be a safe and popular approach for the evaluation of cardiac and limb ischemia. In spite of the use of vascular closing devices, complications can still arise, and rarely, scrotal hematoma with groin swelling in males, which could cause significant morbidity and possibly mortality in those patients at risk. Understanding the different presentations and different ways of management of scrotal hematoma could potentially prevent significant urological complications and exsanguination. This is a case report of a patient who suffered this rare complication that can be used as a comparison with the other few reported cases.

摘要

经股动脉导管插入术仍然是评估心脏和肢体缺血的一种安全且常用的方法。尽管使用了血管闭合装置,但并发症仍可能出现,男性罕见的阴囊血肿伴腹股沟肿胀,这可能会给有风险的患者带来严重的发病率,甚至可能导致死亡。了解阴囊血肿的不同表现和不同处理方法可能会预防严重的泌尿系统并发症和失血。本文报告了一例发生这种罕见并发症的患者,可与其他少数已报道的病例进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba4/6372879/ec360ef8f5df/rjy310f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba4/6372879/c177259caebf/rjy310f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba4/6372879/ec360ef8f5df/rjy310f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba4/6372879/c177259caebf/rjy310f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba4/6372879/ec360ef8f5df/rjy310f02.jpg

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Successful Sonography-Guided Thrombin Injection Treatment for Scrotal Hematoma after Cardiac Catheterization in an Adolescent.

本文引用的文献

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Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access?影像诊断:快速增大的阴囊血肿:股动脉穿刺的并发症?
Perm J. 2017;21:16-111. doi: 10.7812/TPP/16-111.
2
Penoscrotal haematoma after cardiac catheterisation.心脏导管插入术后阴茎阴囊血肿。
BMJ Case Rep. 2017 May 5;2017:bcr-2016-218934. doi: 10.1136/bcr-2016-218934.
3
Comparison of vascular closure devices vs manual compression after femoral artery puncture: the ISAR-CLOSURE randomized clinical trial.经股动脉穿刺后使用血管闭合装置与手动压迫的比较:ISAR-CLOSURE 随机临床试验。
超声引导下凝血酶注射成功治疗青少年心脏导管插入术后阴囊血肿
Chonnam Med J. 2021 Jan;57(1):87-88. doi: 10.4068/cmj.2021.57.1.87. Epub 2021 Jan 25.
JAMA. 2014 Nov 19;312(19):1981-7. doi: 10.1001/jama.2014.15305.
4
Massive scrotal hematoma following transfemoral cardiac catheterization.经股动脉心脏导管插入术后出现巨大阴囊血肿。
Can J Urol. 2008 Apr;15(2):4020-3; discussion 4023.
5
Retroperitoneal hemorrhage from inferior epigastric artery: value of femoral angiography for detection and management.来自腹壁下动脉的腹膜后出血:股动脉血管造影在检测和处理中的价值
Catheter Cardiovasc Interv. 2006 Aug;68(2):267-70. doi: 10.1002/ccd.20835.
6
Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis.经皮冠状动脉介入治疗患者中与动脉切开闭合装置相关的血管并发症:一项荟萃分析。
J Am Coll Cardiol. 2004 Sep 15;44(6):1200-9. doi: 10.1016/j.jacc.2004.06.048.
7
Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials.经皮冠状动脉诊断和介入手术的桡动脉与股动脉入路;随机试验的系统综述和荟萃分析
J Am Coll Cardiol. 2004 Jul 21;44(2):349-56. doi: 10.1016/j.jacc.2004.04.034.