Metzger Patrick Bastos, Paixão Fernando Antonio Falcão, de Carvalho Sarah Fernandez Coutinho, Fernandez Miguel Godeiro, Metzger Simone Lessa, Brandão Maria Fernanda Lima, Monteiro Rafael Borges, Rossi Fabio Henrique
Universidade Federal da Bahia, Salvador, BA, Brasil.
Hospital Geral Cleriston Andrade, Feira de Santana, BA, Brasil.
J Vasc Bras. 2023 Aug 14;22:e20230073. doi: 10.1590/1677-5449.202300732. eCollection 2023.
Pseudoaneurysm of the palmar arch is a rare entity. Diagnosis is dependent on high clinical suspicion. We present a case referred to the emergency department, with a history of glass penetrating trauma to the palmar surface with a pulsatile mass and jet bleeding. Doppler ultrasound evidenced a partially thrombosed pseudoaneurysm. A CT angiography examination showed a saccular formation arising from the superficial palmar arch. A conventional surgical approach was indicated. A clinical suspicion must be ventured to arrive at the correct diagnosis. Imaging modalities are needed to identify the pseudoaneurysm and plan the treatment course. Nonetheless, the sequence of diagnosis is individual, because further evaluation with different imaging methods may not change the rationale for the intervention. In our experience, conventional surgical removal is preferable, due to its safety and well-established outcomes.
掌弓假性动脉瘤是一种罕见的病症。诊断依赖于高度的临床怀疑。我们报告一例转诊至急诊科的病例，患者有手掌表面被玻璃穿透伤的病史，伴有搏动性肿块和喷射性出血。多普勒超声显示为部分血栓形成的假性动脉瘤。CT血管造影检查显示一个发自掌浅弓的囊状结构。采用了传统的手术方法。必须大胆进行临床怀疑才能得出正确诊断。需要影像学检查手段来识别假性动脉瘤并规划治疗方案。然而，诊断顺序因人而异，因为采用不同影像学方法的进一步评估可能不会改变干预的基本原理。根据我们的经验，由于其安全性和公认的疗效，传统手术切除更为可取。
