Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Department Life and Health "V. Tiberio", University of Molise, Francesco De Sanctis st 1, 86100, Campobasso, Italy.
J Ultrasound. 2021 Dec;24(4):535-538. doi: 10.1007/s40477-020-00442-1. Epub 2020 Mar 11.
Pseudoaneurysm occurs when the artery wall is damaged and the blood is contained by the surrounding tissues with the eventual formation of a fibrous sac communicating with the artery. We report a case of a 74-year-old man with inferior epigastric artery (IEA) pseudoaneurysm secondary to an 8-mm port placement during a robot-assisted laparoscopic radical cystectomy with ureteroileocutaneostomy. The pseudoaneurysm was initially diagnosed by contrast-enhanced ultrasound (CEUS); subsequently, a computed tomography (CT) scan and an angiography test were performed. The pseudoaneurysm was then treated successfully with embolization of the inferior epigastric artery. Awareness of this rare complication is of clinical importance to avoid excessive morbidity of affected individuals.
假性动脉瘤是指动脉壁受损，血液被周围组织包裹，最终形成一个与动脉相通的纤维囊。我们报告了一例 74 岁男性患者，因机器人辅助腹腔镜根治性膀胱切除术和输尿管乙状结肠吻合术中放置 8mm 端口而导致的腹壁下动脉（IEA）假性动脉瘤。假性动脉瘤最初通过增强超声（CEUS）诊断；随后进行了 CT 扫描和血管造影检查。假性动脉瘤随后通过栓塞腹壁下动脉成功治疗。了解这种罕见的并发症对临床非常重要，可以避免受影响个体的发病率过高。
