Proschek R, Fowles J V, Bruneau L
Can J Surg. 1983 Nov;26(6):554-5.
A false aneurysm of the superior gluteal artery with compression of the sciatic nerve is reported in an 18-year-old man who was recovering from multiple injuries sustained in a bicycle accident. Rapidly increasing pain and swelling in the leg, with a rapid fall in the hemoglobin level and weakness of dorsiflexion and inversion of the foot were not compatible with the initial diagnosis of abscess. A selective iliac arteriogram revealed the true diagnosis. The gluteal artery was ligated and the false aneurysm oversewn through a posterior, extrapelvic approach. An abdominal, retroperitoneal approach would have been better but was precluded by injuries to the intrapelvic viscera and left-sided colostomy. False aneurysm of the gluteal artery is a life-threatening condition and must be diagnosed early and treated promptly to ensure a successful outcome.
本文报道了一名18岁男性，其在自行车事故中多处受伤后正在康复，却出现了臀上动脉假性动脉瘤并压迫坐骨神经的情况。腿部疼痛和肿胀迅速加剧，同时血红蛋白水平急剧下降，足部背屈和内翻无力，这些症状与最初脓肿的诊断不符。选择性髂动脉造影揭示了真实诊断。通过后路盆腔外入路结扎臀动脉并缝合假性动脉瘤。腹部腹膜后入路本会更好，但因盆腔内脏器损伤和左侧结肠造口术而无法采用。臀动脉假性动脉瘤是一种危及生命的疾病，必须早期诊断并及时治疗以确保成功治愈。
