Illig K A, Eagleton M J, Shortell C K, Ouriel K, DeWeese J A, Green R M
Section of Vascular Surgery, University of Rochester Medical Center, NY, USA.
J Vasc Surg. 1998 Apr;27(4):783-7. doi: 10.1016/s0741-5214(98)70251-4.
Popliteal artery aneurysms rarely rupture. We treated a 91-year-old man who presented with a deep venous thrombosis and anemia; rupture of a popliteal artery aneurysm was suspected only after compartment syndrome isolated to the thigh developed as the result of bleeding. Although fasciotomy was required on the basis of the clinical examination alone, the cause of the problem, operative strategy, and definitive treatment (i.e., resection and bypass) were clarified by the preoperative computed tomography scan. Ruptured popliteal aneurysm can manifest as a massively swollen leg with anemia and should be suspected if no other cause is evident.
腘动脉瘤很少破裂。我们治疗了一名91岁的男性，他出现了深静脉血栓形成和贫血；仅在因出血导致大腿出现骨筋膜室综合征后，才怀疑腘动脉瘤破裂。尽管仅根据临床检查就需要进行筋膜切开术，但术前计算机断层扫描明确了问题的原因、手术策略和确定性治疗方法（即切除和搭桥）。破裂的腘动脉瘤可表现为腿部严重肿胀并伴有贫血，如果没有明显的其他原因，应怀疑此病。
