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[婴儿腹主动脉瘤。附一例报告]

[Aneurysm of the abdominal aorta in infants. Apropos of a case].

作者信息

Hurmic A, Vandermacq P, Goubault F, Drouineau J, Barret D, Gasquet C, Pecheur H

出版信息

J Radiol. 1984 Mar;65(3):201-5.

PMID:6546948
Abstract

The sudden development of an abdominal mass following umbilical artery catheterization during neonatal reanimation in a 1-month-old infant of an alcoholic mother was found to be due to an aneurysm of the abdominal aorta. Diagnosis was established by computed tomography and confirmed by arteriography. In the absence of any pathological examination, surgical treatment having been temporarily delayed, a mycotic origin for the aneurysm was suggested by the conditions of onset. A review of the 13 cases of primary mycotic aneurysms of the abdominal aorta in infants reported in the literature emphasizes the rare but serious nature of these lesions at this age.

摘要

一名1个月大、母亲为酗酒者的婴儿在新生儿复苏期间进行脐动脉插管后突然出现腹部肿块,结果发现是腹主动脉瘤。通过计算机断层扫描确诊,并经动脉造影证实。由于未进行任何病理检查,手术治疗暂时推迟,发病情况提示动脉瘤有真菌起源。对文献报道的13例婴儿腹主动脉原发性真菌性动脉瘤病例的回顾强调了这些病变在这个年龄段虽罕见但严重的性质。

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