Kharazm Pezhman, Nematollahi Nemat, Zeinali Farshad, Alizadeh Shahriar
Vascular Surgery, Clinical Research Development Center, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Radiology, Clinical Research Development Center, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Int J Surg Case Rep. 2023 Sep;110:108680. doi: 10.1016/j.ijscr.2023.108680. Epub 2023 Aug 19.
Axillary artery aneurysm is a rare anomaly in the vascular system of the upper extremity. Most of these aneurysms are false aneurysms and secondary to trauma. They can cause compressive symptoms as well as thromboembolic events leading to limb loss or even rupture as a life-threatening complication.
A 33-year-old man came to the vascular clinic with the complaint of a pulsating mass in his axilla from 2 months ago. He had mild pain in his arm and the mass was palpable in his axillary fossa. It was pulsating and non-tender on touch. CT angiography revealed the aneurysm and the patient was treated surgically using reversed greater saphenous vein for replacing the aneurysmal segment of the artery.
Axillary artery aneurysms may be true or false. Duplex scan and CT angiography can reliably differentiate them from each other. When the diagnosis is confirmed, open and endovascular approaches can be used to treat these vascular anomalies.
When a patient has an axillary mass, axillary artery aneurysm is one of the differential diagnoses and any clinician should keep this entity in his mind when approaching axillary masses.
腋动脉瘤是上肢血管系统中的一种罕见异常。这些动脉瘤大多为假性动脉瘤，继发于创伤。它们可引起压迫症状以及血栓栓塞事件，导致肢体丧失，甚至破裂，成为危及生命的并发症。
一名33岁男性因两个月前发现腋窝有搏动性肿块前来血管诊所就诊。他的手臂有轻微疼痛，腋窝可触及肿块。肿块有搏动，触诊无压痛。CT血管造影显示了动脉瘤，患者接受了手术治疗，使用大隐静脉倒置来替代动脉的动脉瘤段。
腋动脉瘤可能是真性或假性。双功超声扫描和CT血管造影能够可靠地区分它们。确诊后，可采用开放手术和血管腔内治疗方法来处理这些血管异常。
当患者出现腋窝肿块时，腋动脉瘤是鉴别诊断之一，任何临床医生在处理腋窝肿块时都应考虑到这一情况。
