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腿部检测到地雷!创伤后胫后动脉假性动脉瘤侵蚀骨质。

Landmine detected in leg! Post-traumatic pseudoaneurysm of posterior tibial artery eroding bone.

作者信息

Hegde Abheesh V, Gupta Sajal, Joshi Sunil, Mitta Nivedita, Rozario Anthony

机构信息

Department of General Surgery, St. John's Medical College Hospital, Sarjapur - Marathahalli Rd, Beside Bank of Baroda, John Nagar, Koramangala, Bengaluru, Karnataka 560034, India.

Department of Urology & Renal Transplantation, Father Muller Medical College, Kankannady Road, Mangalore 575002, Karnataka, India.

出版信息

J Surg Case Rep. 2025 Aug 28;2025(8):rjaf618. doi: 10.1093/jscr/rjaf618. eCollection 2025 Aug.

Abstract

Vascular injuries can initially present with hemorrhage or limb-threatening conditions, and may later lead to complications such as pseudoaneurysms or arteriovenous fistulas. Pseudoaneurysms are a known complication of arterial injuries resulting from trauma. Proper management following trauma is crucial in preventing pseudoaneurysm development. Here we report a case of pseudoaneurysm arising from an unnamed branch of posterior tibial artery eroding bone in a 4-year old boy who presented with a non-pulsatile, non-tender swelling on the medial aspect of left leg. Early identification of these complications is crucial for preserving the limb, as demonstrated by the patient's uneventful postoperative recovery.

摘要

血管损伤最初可能表现为出血或危及肢体的情况,随后可能导致诸如假性动脉瘤或动静脉瘘等并发症。假性动脉瘤是创伤导致动脉损伤的一种已知并发症。创伤后的妥善处理对于预防假性动脉瘤的形成至关重要。在此,我们报告一例4岁男孩的病例,其胫后动脉一支无名分支形成的假性动脉瘤侵蚀骨质,该男孩左腿内侧出现一个无搏动、无压痛的肿胀。如患者术后恢复顺利所示,早期识别这些并发症对于保全肢体至关重要。

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