Tsai F C, Wang C C, Fang J F, Lin P J, Kao C L, Hsieh H C, Chu J J, Chen R J, Chang C H
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China.
J Trauma. 1997 Jan;42(1):133-6. doi: 10.1097/00005373-199701000-00024.
Traumatic isolated common iliac artery occlusion is unusual. Only rare cases of common iliac arterial injuries resulting from blunt abdominal trauma have been reported, and most of them were attributed to the seat-belt syndrome and associated with visceral organ perforation or pelvic fracture. We reported an unusual isolated common iliac artery occlusion secondary to atherosclerotic plaque rupture from blunt abdominal compressive trauma without other visceral injury. This case presented with acute limb ischemia and paralysis that was successfully treated by thromboendarterectomy. The symptoms and signs, surgical modalities, and associated injuries were reported and the literature was also reviewed.
创伤性孤立性髂总动脉闭塞并不常见。仅有少数关于钝性腹部创伤导致髂总动脉损伤的病例报道，其中大多数归因于安全带综合征，并伴有内脏器官穿孔或骨盆骨折。我们报告了一例罕见的钝性腹部挤压伤继发动脉粥样硬化斑块破裂导致的孤立性髂总动脉闭塞，且无其他内脏损伤。该病例表现为急性肢体缺血和瘫痪，通过血栓内膜切除术成功治愈。本文报告了其症状体征、手术方式及相关损伤情况，并对文献进行了回顾。
