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巨大自发性骶中动脉假性动脉瘤伪装成髋关节疼痛。

Large spontaneous median sacral artery pseudoaneurysm masquerading as hip pain.

作者信息

Faraj Joseph, Daneshmand Ali, Mwipatayi Bibombe Patrice

机构信息

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

School of Surgery, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Western Australia, Australia.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Apr 23;6(2):224-227. doi: 10.1016/j.jvscit.2020.02.012. eCollection 2020 Jun.

DOI:10.1016/j.jvscit.2020.02.012
PMID:32368705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7184062/
Abstract

We report the case of an 81-year-old man who presented with severe right hip pain and reduced physical function secondary to a large spontaneous median sacral artery pseudoaneurysm measuring 83.5 × 55.4 mm. The patient had no history of recent trauma, infective or inflammatory disease, or any recent procedures. The patient was taking apixaban for atrial fibrillation. Percutaneous coil embolization was used to occlude the pseudoaneurysm. This case describes a novel disease, spontaneous median sacral artery pseudoaneurysm, presenting with hip pain.

摘要

我们报告了一例81岁男性患者,其因一个大小为83.5×55.4mm的巨大自发性骶中动脉假性动脉瘤而出现严重的右髋部疼痛和身体功能下降。该患者近期无外伤史、感染性或炎症性疾病史,也未进行过任何近期手术。患者因心房颤动正在服用阿哌沙班。采用经皮弹簧圈栓塞术闭塞假性动脉瘤。本病例描述了一种以髋部疼痛为表现的新型疾病——自发性骶中动脉假性动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/4b83a95f5e59/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/b9e346947416/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/8ecfb4c44806/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/4b83a95f5e59/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/b9e346947416/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/8ecfb4c44806/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4424/7184062/4b83a95f5e59/gr3.jpg

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本文引用的文献

1
Spontaneous Superior Mesenteric Artery Branch Pseudoaneurysm: A Rare Case Report.自发性肠系膜上动脉分支假性动脉瘤:一例罕见病例报告
EJVES Short Rep. 2017 Oct 12;37:1-4. doi: 10.1016/j.ejvssr.2017.09.001. eCollection 2017.
2
Visceral artery pseudoaneurysms: two case reports and a review of the literature.内脏动脉假性动脉瘤:两例病例报告及文献综述
J Med Case Rep. 2017 May 4;11(1):126. doi: 10.1186/s13256-017-1291-6.
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Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials.
内脏动脉假性动脉瘤治疗中的介入放射学:技术与栓塞材料综述
Korean J Radiol. 2016 May-Jun;17(3):351-63. doi: 10.3348/kjr.2016.17.3.351. Epub 2016 Apr 14.
4
Median sacral artery injury following a bone marrow biopsy successfully treated with selective trans-arterial embolization: a case report.骨髓活检后骶正中动脉损伤经选择性经动脉栓塞成功治疗:一例报告
J Med Case Rep. 2016 Feb 24;10:42. doi: 10.1186/s13256-016-0827-5.
5
Median sacral artery injury during percutaneous mechanical disc decompression using Dekompressor®.使用Dekompressor®进行经皮机械性椎间盘减压时的骶中动脉损伤
Korean J Anesthesiol. 2014 Dec;67(Suppl):S60-1. doi: 10.4097/kjae.2014.67.S.S60.
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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.
7
Outcomes of open and endovascular repair for ruptured and nonruptured internal iliac artery aneurysms.开放手术和血管内修复治疗破裂和未破裂的髂内动脉动脉瘤的结果。
J Vasc Surg. 2014 Mar;59(3):634-44. doi: 10.1016/j.jvs.2013.09.060.
8
Visceral Artery Aneurysms and Pseudoaneurysms—Should They All be Managed by Endovascular Techniques?内脏动脉瘤和假性动脉瘤——都应该采用血管内技术进行治疗吗?
Ann Vasc Dis. 2013;6(4):687-93. doi: 10.3400/avd.ra.13-00045. Epub 2013 Nov 15.
9
Spontaneous pseudoaneurysm of the hand.
Ann Vasc Surg. 2014 Apr;28(3):739.e1-3. doi: 10.1016/j.avsg.2013.04.033. Epub 2013 Nov 8.
10
The role of interventional radiology in the management of abdominal visceral artery aneurysms.介入放射学在腹部内脏动脉动脉瘤治疗中的作用。
Cardiovasc Intervent Radiol. 2012 Apr;35(2):234-43. doi: 10.1007/s00270-011-0201-3. Epub 2011 Jun 15.