Myers Robert, Mushtaq Bakhtawar, Jubelirer Robert, Kirton Orlando
General Surgery, Abington Jefferson Hospital, Abington, USA.
Cureus. 2024 Mar 6;16(3):e55618. doi: 10.7759/cureus.55618. eCollection 2024 Mar.
Thyrocervical trunk pseudoaneurysms are a rare entity among pseudoaneurysms, mostly caused by trauma. We present the case of a 74-year-old male who suffered a traumatic pseudoaneurysm of the supra-scapular artery after a rib and scapular fracture. The patient was treated with various interventions along the treatment algorithm, including ultrasound-guided thrombin injection, coil embolization, and surgical excision. In our patient, the pseudoaneurysm was successfully treated with coil embolization, but a persistent thrombosed pseudoaneurysm caused the patient discomfort, prompting the eventual surgical removal. This case is unique as it enlightens the step-wise approach to managing thyrocervical trunk pseudoaneurysm.
甲状腺颈干假性动脉瘤在假性动脉瘤中是一种罕见的情况,主要由创伤引起。我们报告一例74岁男性病例,该患者在肋骨和肩胛骨骨折后发生肩胛上动脉创伤性假性动脉瘤。按照治疗方案,对该患者进行了多种干预措施,包括超声引导下注射凝血酶、弹簧圈栓塞和手术切除。在我们的患者中,假性动脉瘤通过弹簧圈栓塞成功治疗,但持续存在的血栓形成假性动脉瘤给患者带来不适,促使最终进行手术切除。该病例具有独特性,因为它阐明了处理甲状腺颈干假性动脉瘤的逐步方法。