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勃起功能障碍的罕见病因:双侧髂内动脉血栓性动脉瘤。

A rare cause of erectile dysfunction: Bilateral thrombosed internal iliac artery aneurysms.

作者信息

Untan Ibrahim, Cil Ahmed Said

机构信息

Ibrahim Untan Department of Urology, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkiye.

Ahmed Said Cil Department of Radiodiagnostics, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkiye.

出版信息

Pak J Med Sci. 2024 Sep;40(8):1885-1888. doi: 10.12669/pjms.40.8.9005.

DOI:10.12669/pjms.40.8.9005
PMID:39281207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11395378/
Abstract

Internal iliac artery aneurysms are a relatively uncommon condition that can have serious consequences if left untreated. This paper presents a case of erectile dysfunction caused by thrombosis of the internal iliac artery aneurysms in a 52-years-old male patient with common iliac and internal iliac artery aneurysms. Following the intracavernous self-injection treatment, the patient's complaints about erectile dysfunction ceased. Aneurysms were monitored closely. To the best of our knowledge, this represents the first case of erectile dysfunction being presented as a consequence of thrombosed iliac artery aneurysms. Erectile dysfunction itself is not a life-threatening condition. However, it should be highlighted that erectile dysfunction can be a sign of life-threatening iliac artery diseases, as in this case. Therefore, it is crucial to recognize the potential seriousness of this condition and to investigate it thoroughly.

摘要

髂内动脉瘤是一种相对罕见的病症,如果不进行治疗可能会产生严重后果。本文介绍了一名52岁患有髂总动脉和髂内动脉瘤的男性患者,因髂内动脉瘤血栓形成导致勃起功能障碍的病例。经海绵体内自我注射治疗后,患者关于勃起功能障碍的主诉消失。对动脉瘤进行了密切监测。据我们所知,这是首例因髂动脉动脉瘤血栓形成而导致勃起功能障碍的病例。勃起功能障碍本身并非危及生命的病症。然而,应当强调的是,如本病例所示,勃起功能障碍可能是危及生命的髂动脉疾病的一个迹象。因此,认识到这种病症的潜在严重性并进行全面调查至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/502e/11395378/87a151dd8f49/PJMS-40-1885-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/502e/11395378/87a151dd8f49/PJMS-40-1885-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/502e/11395378/87a151dd8f49/PJMS-40-1885-g001.jpg

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本文引用的文献

1
Giant Renal Artery Aneurysm With Hydronephrosis and Severe Atrophy of the Renal Parenchyma: Case Report and Literature Review.巨大肾动脉动脉瘤伴肾积水及肾实质严重萎缩:病例报告与文献综述
Clin Med Insights Case Rep. 2022 Oct 8;15:11795476221127129. doi: 10.1177/11795476221127129. eCollection 2022.
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Endovascular Management of Giant Isolated Iliac Artery Aneurysms: A Case Series.巨大孤立性髂动脉瘤的血管内治疗:病例系列
Anatol J Cardiol. 2022 Sep;26(9):733-736. doi: 10.5152/AnatolJCardiol.2022.1885.
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J Vasc Bras. 2019 Apr 17;18:e20180115. doi: 10.1590/1677-5449.180115. eCollection 2019.
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Erectile dysfunction for primary care providers.基层医疗服务提供者的勃起功能障碍
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Isolated iliac artery aneurysms.
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The isolated internal iliac artery aneurysm--a review.孤立性髂内动脉瘤——综述
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Chirurg. 2001 Apr;72(4):419-24. doi: 10.1007/s001040051324.