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根治性膀胱切除术后髂外动脉假性动脉瘤：2例报告

External iliac artery pseudoaneurysm following radical cystectomy: A report of two cases.

作者信息

Laddha Abhishek, Pooleri Ginil Kumar, Thomas Appu

机构信息

Department of Urology, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala, India.

出版信息

Indian J Urol. 2020 Jan-Mar;36(1):56-58. doi: 10.4103/iju.IJU_240_19.

DOI:10.4103/iju.IJU_240_19
PMID:31983828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6961432/
Abstract

External iliac artery pseudoaneurysm is a rare complication following radical cystectomy and pelvic lymph node dissection. We report two cases that developed external iliac artery pseudoaneurysm following radical cystectomy and pelvic lymph node dissection with an ileal conduit. Survival in these patients is dependent on early diagnosis and prompt intervention. Mortality in such cases remains high even with aggressive management.

摘要

髂外动脉假性动脉瘤是根治性膀胱切除术和盆腔淋巴结清扫术后的一种罕见并发症。我们报告两例在根治性膀胱切除术和盆腔淋巴结清扫并采用回肠代膀胱术后发生髂外动脉假性动脉瘤的病例。这些患者的存活取决于早期诊断和及时干预。即使积极治疗，此类病例的死亡率仍然很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf3/6961432/fc594981ac0a/IJU-36-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf3/6961432/1825747c0845/IJU-36-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf3/6961432/fc594981ac0a/IJU-36-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf3/6961432/1825747c0845/IJU-36-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf3/6961432/fc594981ac0a/IJU-36-56-g002.jpg

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引用本文的文献

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Delayed right external iliac artery disruption after radical cystectomy: A case report and literature review.根治性膀胱切除术后右侧髂外动脉延迟性破裂：一例报告及文献复习
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本文引用的文献

1
Life-threatening rupture of an external iliac artery pseudoaneurysm caused by necrotizing fasciitis following laparoscopic radical cystectomy: a case report.腹腔镜根治性膀胱切除术后坏死性筋膜炎导致髂外动脉假性动脉瘤危及生命的破裂：一例报告
BMC Res Notes. 2014 May 10;7:290. doi: 10.1186/1756-0500-7-290.
2
Life-threatening bleeding after pelvic lymphadenectomy for cervical cancer: endovascular management of ruptured false aneurysm of the external iliac artery.宫颈癌盆腔淋巴结清扫术后致命性出血：髂外动脉假性动脉瘤破裂的血管内治疗。
World J Surg Oncol. 2012 Jul 16;10:149. doi: 10.1186/1477-7819-10-149.
3
Complications after radical cystectomy: analysis of population-based data.
根治性膀胱切除术后的并发症：基于人群数据的分析
Urology. 2006 Jul;68(1):58-64. doi: 10.1016/j.urology.2006.01.051. Epub 2006 Jun 27.
4
Visceral and peripheral arterial pseudoaneurysms.内脏和外周动脉假性动脉瘤
AJR Am J Roentgenol. 2005 Sep;185(3):741-9. doi: 10.2214/ajr.185.3.01850741.
5
Impact of hospital and surgeon volume on in-hospital mortality from radical cystectomy: data from the health care utilization project.医院及外科医生手术量对根治性膀胱切除术后住院死亡率的影响：来自医疗保健利用项目的数据
J Urol. 2005 May;173(5):1695-700. doi: 10.1097/01.ju.0000154638.61621.03.
6
Early and late treatment-related morbidity following radical cystectomy.根治性膀胱切除术后早期和晚期与治疗相关的发病率
Scand J Urol Nephrol. 2004;38(2):153-60. doi: 10.1080/00365590310020060.
7
False aneurysm of the common iliac artery after pelvic lymphadenectomy: management of an unusual complication.
J Urol. 1995 Jul;154(1):201-2.