Muhammad Naasik A, Samad Abdul, Abdul Rehman Maria, Yusuf Shazia, Abdul Rahman Zainab
Emergency Department, Evercare Hospital Lahore, Lahore, PAK.
Medicine, Riphah International University, Islamabad, PAK.
Cureus. 2024 Sep 12;16(9):e69254. doi: 10.7759/cureus.69254. eCollection 2024 Sep.
Arterial pseudoaneurysms are uncommon vascular lesions resulting from a breach in the arterial wall leading to contained haematoma formation, often associated with trauma or iatrogenic procedures. Brachial artery pseudoaneurysms following acute penetrating trauma are rare, with even fewer cases presenting with associated median nerve complications. We present the case of a 41-year-old man who developed median nerve palsy secondary to a brachial artery pseudoaneurysm following a knife stab wound to his left cubital fossa. Initially, the pseudoaneurysm was undiagnosed, and the patient experienced worsening symptoms, leading to further investigation and subsequent surgical repair of the pseudoaneurysm. This case underscores the importance of considering vascular injuries and their delayed sequelae in cases of penetrating trauma, particularly when associated with neurological deficits. Prompt diagnosis and intervention are crucial to prevent potential complications and optimise patient outcomes. The utilisation of appropriate imaging modalities, such as Doppler ultrasonography and CT angiography, facilitates accurate diagnosis and guides tailored management strategies. Further research is warranted to explore optimal treatment approaches and long-term outcomes in similar cases.
动脉假性动脉瘤是一种罕见的血管病变，由动脉壁破裂导致局限性血肿形成引起，常与创伤或医源性操作相关。急性穿透性创伤后肱动脉假性动脉瘤罕见，出现相关正中神经并发症的病例更少。我们报告一例41岁男性，在左肘窝被刀刺伤后，继发于肱动脉假性动脉瘤出现正中神经麻痹。最初，假性动脉瘤未被诊断出来，患者症状逐渐加重，导致进一步检查及随后对假性动脉瘤进行手术修复。该病例强调了在穿透性创伤病例中，尤其是伴有神经功能缺损时，考虑血管损伤及其延迟后遗症的重要性。及时诊断和干预对于预防潜在并发症及优化患者预后至关重要。使用适当的成像方式，如多普勒超声和CT血管造影，有助于准确诊断并指导制定个性化的管理策略。有必要进行进一步研究，以探索类似病例的最佳治疗方法和长期预后。
