Lantin F, Michel L, Vandeperre J, Lantin A
Acta Chir Belg. 1977 May-Jun;76(3):347-54.
The authors report one case of false aneurysm of the right external iliac artery following perforation of the acetabulum by a Böhler nail, which was placed twenty-two years before. Clinical signs were a no-pulsating tumor of the right fossa iliaca, deep venous thrombosis of the right leg and severe anemia. Treatment included resection of the false aneurysm, suture of the arterial wound and removal of the Böhler nail. The authors report the place held by vascular lesions in bone surgery, and diagnostic difficulties due to the delayed clinical manifestations.
作者报告了一例由22年前置入的Böhler钉导致髋臼穿孔后右髂外动脉假性动脉瘤的病例。临床症状为右髂窝无搏动性肿块、右下肢深静脉血栓形成和严重贫血。治疗包括切除假性动脉瘤、缝合动脉伤口以及取出Böhler钉。作者报告了血管病变在骨外科中的地位,以及由于临床表现延迟而导致的诊断困难。