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盲目触诊引导下的乳腺粗针穿刺活检后乳腺假性动脉瘤:一例报告及文献复习

Pseudoaneurysm of the breast following blind palpation-guided core needle biopsy: a case report and literature review.

作者信息

Omisore Adeleye Dorcas, Olasehinde Olalekan, Towoju Anuoluwapo Gbadura, Akinsulore Roli Yetunde, Fadirepo Ayorinde Christopher, Omoyiola Oluwatosin Zainab

机构信息

Department of Radiology, Obafemi Awolowo University (OAU)/ OAU Teaching Hospitals Complex, Ile Ife, Nigeria.

Department of Surgery, Obafemi Awolowo University (OAU)/ OAU Teaching Hospitals Complex, Ile Ife, Nigeria.

出版信息

Radiol Case Rep. 2022 Jul 19;17(9):3385-3388. doi: 10.1016/j.radcr.2022.06.069. eCollection 2022 Sep.

Abstract

Core needle biopsy is currently the most widely used basic diagnostic method for the diagnosis of breast masses; it is a minimally invasive procedure with excellent specificity and sensitivity and negligible complication rates, particularly when image-guided. However, complications tend to be higher when performed blindly. Hematoma remains the most common complication resulting from this procedure. Iatrogenic pseudoaneurysm is a rare complication with no previous report in Nigeria. In this report, we present a case of breast pseudoaneurysm occurring after 2 blind, palpation-guided core needle biopsies in a 51-year-old known hypertensive woman at a Nigerian tertiary hospital. Spontaneous thrombosis of the pseudoaneurysm occurred over three months after the second blind biopsy.

摘要

粗针活检是目前诊断乳腺肿块最广泛使用的基本诊断方法;它是一种微创手术,具有出色的特异性和敏感性,并发症发生率可忽略不计,尤其是在图像引导下进行时。然而,盲目操作时并发症发生率往往较高。血肿仍然是该手术最常见的并发症。医源性假性动脉瘤是一种罕见的并发症,在尼日利亚此前尚无相关报道。在本报告中,我们介绍了一名51岁的已知高血压女性在尼日利亚一家三级医院接受两次盲目触诊引导下的粗针活检后发生乳腺假性动脉瘤的病例。假性动脉瘤在第二次盲目活检后三个多月发生自发血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4104/9305303/b90cde32308c/gr1.jpg

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