Duveau D, Lenne Y, Dupon H
J Chir (Paris). 1978 Mar;115(3):159-66.
An exceptional observation of a true femoral aneurysm complicating an exostosis is related. From a review of 60 cases of the literature, the authors study the different vascular complications induced by osteochondroma. In 3 cases out of 4, the vascular injury consist in a false aneurysm; in 1 case out of 5 vascular compression is the point in question; only 4 cases of true aneurysm have been collected. After study of the different clinical aspects of the disease, the authors emphasize the need of surgical treatment associating removal of exostosis and restoring vascular axis. They suggest preventive removal of exostosis situated on a vascular axis to hinder the onset of such accidents.
本文报告了一例罕见的骨软骨瘤合并真性股动脉瘤的病例。通过回顾60例文献,作者研究了骨软骨瘤引起的不同血管并发症。4例中有3例血管损伤为假性动脉瘤;5例中有1例涉及血管受压;仅收集到4例真性动脉瘤。在研究了该病的不同临床方面后,作者强调了手术治疗的必要性,包括切除骨软骨瘤和恢复血管轴。他们建议预防性切除位于血管轴上的骨软骨瘤,以防止此类事故的发生。