创伤性动静脉瘘：延迟25年才就诊。

Stathis Alexandra, Gan John

Department of Surgery, Port Macquarie Base Hospital, Port Macquarie NSW Australia.

J Surg Case Rep. 2020 Mar 24;2020(3):rjaa042. doi: 10.1093/jscr/rjaa042. eCollection 2020 Mar.

A 64-year-old lady presented with a 6-month history of worsening unilateral leg swelling, with an audible bruit of the popliteal artery. Arterial duplex ultrasound confirmed the presence of an arteriovenous fistula (AVF) between the posterior tibial artery and vein. Upon thorough history, it was discovered that the patient had sustained a stab wound to this region some 25 years prior. The fistula was successfully managed endovascularly by means of a covered stent. This case highlights an unusual delayed presentation of an AVF and demonstrates the effectiveness of endovascular treatment of this condition.

一位64岁女性患者，出现单侧腿部肿胀加重6个月，腘动脉处可闻及杂音。动脉双功超声证实胫后动脉与静脉之间存在动静脉瘘（AVF）。经详细询问病史发现，患者约25年前该区域曾遭受刺伤。通过置入覆膜支架，成功对该瘘进行了血管腔内治疗。该病例突出了动静脉瘘不常见的延迟表现，并证明了血管腔内治疗这种病症的有效性。