Azeemuddin Muhammad, Khan Anosha, Siddiqui Atif Hafeez, Shakil Asad, Salam Basit, Sayani Raza
Department of Radiology, The Aga Khan University Hospital, Karachi, Pakistan.
Department of Medicine, Jinnah Medical and Dental College, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2021 Mar;31(3):340-341. doi: 10.29271/jcpsp.2021.03.340.
Pseudo-aneurysm of internal maxillary artery, following a road traffic accident, is a rare clinical scenario. The consequence of pseudo-aneurysm may be spontaneous rupture of the arterial wall, which may eventually lead to life-threatening hemorrhage. We report a case of a 20-year male who presented with recurrent epistaxis. CT scan was performed, which revealed a pseudo-aneurysm of the internal maxillary artery; this was successfully treated by angioembolisation. Similar cases of traumatic pseudo-aneurysms have been reported, however, none presented with recurrent epistaxis after management of pan-facial fractures. Key Words: Epistaxis, Pseudo-aneurysm, Angioembolisation, Pan-facial fracture.
交通事故后发生的上颌内动脉假性动脉瘤是一种罕见的临床情况。假性动脉瘤的后果可能是动脉壁自发破裂,最终可能导致危及生命的出血。我们报告一例20岁男性,表现为反复鼻出血。进行了CT扫描,显示上颌内动脉假性动脉瘤;通过血管栓塞成功治疗。此前已报道过类似的创伤性假性动脉瘤病例,但在全面部骨折治疗后均未出现反复鼻出血的情况。关键词:鼻出血、假性动脉瘤、血管栓塞、全面部骨折