Department of Gynecology, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
Department of Radiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
BMJ Case Rep. 2023 Nov 22;16(11):e256962. doi: 10.1136/bcr-2023-256962.
Ehlers-Danlos syndrome (EDS) type IV is a hereditary autosomal dominant disease associated with skin and vascular fragility, hyperextensibility and joint hypermobility. Spontaneous arterial rupture is one of its higher-risk features.The authors describe a case of a woman with EDS type IV who presented with a spontaneous breast haematoma associated with a pseudoaneurysm of a branch of the left internal mammary artery. The patient underwent a minimally invasive endovascular approach that was uneventful. However, 6 months later, she presented in the emergency room with a similar episode on the contralateral breast. There were no signs of active bleeding, and she stayed under surveillance. Nine months later, she was asymptomatic.Aneurysms of branches of the internal mammary artery are rare and prone to rupture. Early diagnosis and treatment are imperative, and this case demonstrates that an endovascular approach is a safe treatment option.
埃勒斯-当洛斯综合征（EDS）Ⅳ型是一种遗传性常染色体显性疾病，与皮肤和血管脆弱、过度伸展和关节过度活动有关。自发性动脉破裂是其高风险特征之一。作者描述了一例 EDS Ⅳ型女性患者，其表现为自发性乳房血肿伴左侧内乳动脉分支假性动脉瘤。患者接受了微创血管内治疗，过程顺利。然而，6 个月后，她在对侧乳房出现类似发作。无明显活动性出血，遂予观察。9 个月后，她无症状。内乳动脉分支动脉瘤罕见，易破裂。早期诊断和治疗至关重要，本例表明血管内治疗是一种安全的治疗选择。
