Shehzad Khalid N, Monib Sherif, Mensa Mussa, Halawa Mustafa O
Department of Vascular Surgery, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire.
J Surg Case Rep. 2019 Apr 24;2019(4):rjz119. doi: 10.1093/jscr/rjz119. eCollection 2019 Apr.
We present a case of a middle-aged Caucasian woman who developed acuteon top of chronic limb ischaemia secondary to thrombotic occlusion of a persistent sciatic artery (PSA). Timely investigation and treatment were instituted resulting in a favourable outcome. PSA is an uncommon congenital, developmental, arterial anomaly which can cause serious lower limb complications such as acute or critical limb ischaemia and amputation. As this condition is rarely encountered in regular clinical practice, and has a limb-threatening potential, it is important to be aware of its cause, presentation and management. We describe the embryologic aetiology of PSA and discuss different investigation modalities and treatment options.
我们报告了一例中年白种女性病例，该患者在持续性坐骨动脉（PSA）血栓形成导致的慢性肢体缺血基础上发生急性病变。及时进行了检查和治疗，结果良好。PSA是一种罕见的先天性、发育性动脉异常，可导致严重的下肢并发症，如急性或严重肢体缺血及截肢。由于这种情况在常规临床实践中很少遇到，且具有肢体威胁性，因此了解其病因、表现和治疗方法很重要。我们描述了PSA的胚胎学病因，并讨论了不同的检查方式和治疗选择。
