Halloul Z, Lippert H, Meyer F
Klinik für Chirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg.
Zentralbl Chir. 1995;120(3):245-8.
Differential diagnosis of uncertain swelling of the neck has a limited number of possibilities. Thyreoideal processes, lymphatic adenomatosis and abscesses are in most of these cases prevent. However, vascular diseases should be also considered. It is current practice to perform a sonography, completed by computertomography for establishing a diagnosis. If vascular disease is suspected also an angiography is indicated. During the diagnostic procedure we discovered a major aneurysm of the left external carotid artery. The aneurysm was resected and vascular continuity restored by PTFE patchplasty. In case of tumorous processes of the neck extracranial aneurysms of the carotid artery have to be included into the differential diagnosis in order to guarantee adequate therapy.
颈部不明肿胀的鉴别诊断可能性有限。在大多数此类病例中可排除甲状腺病变、淋巴腺瘤病和脓肿。然而，血管疾病也应予以考虑。目前的做法是先进行超声检查，再辅以计算机断层扫描以明确诊断。如果怀疑有血管疾病，还需进行血管造影。在诊断过程中，我们发现左颈外动脉有一个大动脉瘤。切除该动脉瘤后，通过聚四氟乙烯补片成形术恢复了血管连续性。对于颈部的肿瘤性病变，为确保得到充分治疗，必须将颈动脉颅外动脉瘤纳入鉴别诊断。
