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机械取栓术中巨大阴囊血肿1例。

A Case of Huge Scrotal Hematoma during Mechanical Thrombectomy.

作者信息

Tsurusaki Yuichiro, Sakai Shota, Morita Takao, Miki Kenji, Inoue Daisuke, Haga Sei, Arihiro Shoji

机构信息

Department of Cerebrovascular Medicine, Kyushu Rosai Hospital, Kitakyushu, Fukuoka, Japan.

Department of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Fukuoka, Japan.

出版信息

J Neuroendovasc Ther. 2022;16(11):565-569. doi: 10.5797/jnet.cr.2022-0049. Epub 2022 Aug 20.

DOI:10.5797/jnet.cr.2022-0049
PMID:37501736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370879/
Abstract

OBJECTIVE

We report a case of huge scrotal hematoma during emergency mechanical thrombectomy.

CASE PRESENTATION

An 85-year-old man presented with sudden aphasia and right-sided hemiplegia. He was diagnosed with cerebral infarction due to left M1 occlusion and underwent an emergency mechanical thrombectomy. The treatment was completed with full recanalization, but when replacing the long sheath in the right femoral artery with a short sheath, the patient flexed his leg. The sheath could not be replaced, resulting in a massive scrotal hematoma. Shortly after, the patient went into cardiopulmonary arrest but recovered spontaneous circulation after cardiopulmonary resuscitation. The puncture site was treated hemostatically with manual compression, and the scrotal hematoma was not enlarged. He was transferred to another hospital with a modified Rankin Scale score of 5.

CONCLUSION

Scrotal hematoma is a rare but potentially fatal puncture site complication that should be considered during neuro-endovascular treatment.

摘要

目的

我们报告一例急诊机械取栓术中发生巨大阴囊血肿的病例。

病例介绍

一名85岁男性突发失语和右侧偏瘫。他被诊断为因左侧M1闭塞导致的脑梗死，并接受了急诊机械取栓术。治疗完成后血管完全再通，但在将右侧股动脉的长鞘更换为短鞘时，患者腿部弯曲。鞘无法更换，导致大量阴囊血肿。不久后，患者发生心肺骤停，但经过心肺复苏后恢复了自主循环。穿刺部位通过手动压迫进行止血处理，阴囊血肿未扩大。他被转至另一所医院，改良Rankin量表评分为5分。

结论

阴囊血肿是一种罕见但可能致命的穿刺部位并发症，在神经血管内治疗期间应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/4b5a188552b4/jnet-16-565-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/7c7d1973df16/jnet-16-565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/7374241c5c05/jnet-16-565-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/e55cc7aff9a5/jnet-16-565-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/0fc07f16c2a3/jnet-16-565-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/61b61440cd6b/jnet-16-565-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/4b5a188552b4/jnet-16-565-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/7c7d1973df16/jnet-16-565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/7374241c5c05/jnet-16-565-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/e55cc7aff9a5/jnet-16-565-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/0fc07f16c2a3/jnet-16-565-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/61b61440cd6b/jnet-16-565-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40d/10370879/4b5a188552b4/jnet-16-565-g006.jpg

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