Kang Inho, Mo Young Woong, Jung Gyu Yong, Shin Hea Kyeong
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea.
Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Arch Craniofac Surg. 2022 Jun;23(3):130-133. doi: 10.7181/acfs.2022.00178. Epub 2022 Jun 20.
An 88-year-old man presented with a left temporal pulsatile mass that developed after blunt trauma. Based on suspicion of hematoma, needle aspiration was performed with the removal of approximately 15 mL of blood. No evident improvement was noted, and active arterial bleeding was observed at the needle puncture site. Doppler ultrasonography revealed a "yin-yang" sign, and the mass was diagnosed as a pseudoaneurysm of the left superficial temporal artery. Under general anesthesia, the superficial temporal artery was ligated and the pseudoaneurysm was removed. Superficial temporal artery pseudoaneurysm is a rare facial tumor that generally occurs after blunt trauma. Due to its rarity, pseudoaneurysms are often misdiagnosed as hematoma. The treatment of choice is excision, although endovascular intervention is a potential treatment option. However, when a pseudoaneurysm is small, conservative treatment can be used.
一名88岁男性因钝器伤后出现左侧颞部搏动性肿块前来就诊。基于血肿的怀疑，进行了针吸，吸出了约15毫升血液。未见明显改善，且在穿刺部位观察到活动性动脉出血。多普勒超声显示“阴阳”征，该肿块被诊断为左侧颞浅动脉假性动脉瘤。在全身麻醉下，结扎颞浅动脉并切除假性动脉瘤。颞浅动脉假性动脉瘤是一种罕见的面部肿瘤，通常发生于钝器伤后。由于其罕见性，假性动脉瘤常被误诊为血肿。治疗的首选方法是切除，尽管血管内介入也是一种潜在的治疗选择。然而，当假性动脉瘤较小时，可采用保守治疗。
