Department of Vascular Surgery, Christian Medical College Vellore, Vellore, India.
Department of Vascular Surgery, Christian Medical College Vellore, Vellore, India
BMJ Case Rep. 2020 Jul 9;13(7):e234497. doi: 10.1136/bcr-2020-234497.
The differential diagnoses for preauricular swellings include dermoid cyst, lymph nodes, lipoma, nerve sheath tumours, parotid swelling, mastoiditis, vascular malformations and arterio-venous fistulas aneurysms/pseudoaneurysms. Superficial temporal artery pseudoaneurysm(s) (STAPA) are rare (1% of all aneurysms) vascular complications, which occur following a blunt injury of the head or iatrogenic causes. The use of anticoagulation therapy increases the risk of pseudoaneurysm formation. We present a case of traumatic STAPA while on oral anticoagulation. He was treated with surgical exploration, STAPA excision with ligation of the vessel. He had an uneventful recovery with a good functional and cosmetic outcome at 1 year.
先天性耳前窦道的鉴别诊断包括皮样囊肿、淋巴结、脂肪瘤、神经鞘瘤、腮腺肿胀、乳突炎、血管畸形和动静脉瘘/假性动脉瘤。假性颞浅动脉动脉瘤（STAPA）是一种罕见的（占所有动脉瘤的 1%）血管并发症，发生于头部钝性损伤或医源性损伤后。抗凝治疗的使用会增加假性动脉瘤形成的风险。我们报告了一例在口服抗凝治疗期间发生的外伤性 STAPA 病例。他接受了手术探查，STAPA 切除并结扎血管。他恢复顺利，1 年后功能和美容效果良好。
