Hawthorne Samuel C J, Atkinson Noel R, Musicki Korana
Department of Vascular Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
EJVES Vasc Forum. 2021 Oct 25;53:30-35. doi: 10.1016/j.ejvsvf.2021.10.016. eCollection 2021.
Isolated iliac artery aneurysms are an uncommon occurrence in the absence of concurrent aortic disease in the adult population and are a rare entity in children and adolescents. Paediatric patients may present with false aneurysms less frequently but true aneurysms are exceptional. In this report, the case of an iliac bifurcation true saccular aneurysm is described.
An 18 year old woman without history of infection, trauma, connective tissue disorders, or vasculitis, was referred with an incidental left iliac bifurcation saccular aneurysm. She underwent open surgical resection of the aneurysm with primary re-anastomosis of the common to external iliac arteries and ligation of the internal iliac artery. Histopathological assessment did not show any inflammatory or other underlying disease process.
A case is presented of an isolated iliac bifurcation true aneurysm in an adolescent and its successful treatment. It is plausible that incomplete involution of the embryologically dominant sciatic artery may have been the cause for this presentation and for other congenital iliac artery aneurysms. Literature review of other paediatric iliac aneurysms shows an array of postulated underlying causes and treatment strategies.
在成年人群中，孤立性髂动脉瘤在无并发主动脉疾病的情况下并不常见，在儿童和青少年中更是罕见。儿科患者较少出现假性动脉瘤，但真性动脉瘤则极为罕见。在本报告中，描述了一例髂总动脉分叉处真性囊状动脉瘤的病例。
一名18岁女性，无感染、创伤、结缔组织疾病或血管炎病史，因偶然发现左髂总动脉分叉处囊状动脉瘤而前来就诊。她接受了动脉瘤开放手术切除，将髂总动脉与髂外动脉进行原位重新吻合，并结扎了髂内动脉。组织病理学评估未显示任何炎症或其他潜在疾病过程。
本文介绍了一例青少年孤立性髂总动脉分叉处真性动脉瘤病例及其成功治疗。胚胎期占主导地位的坐骨动脉不完全退化可能是该病例以及其他先天性髂动脉瘤的病因。对其他儿科髂动脉瘤的文献回顾显示了一系列推测的潜在病因和治疗策略。
