8岁男孩肱骨髁上骨折修复后肱深假动脉瘤1例报告及文献复习。

IF 0.4 Q4 ORTHOPEDICS Case Reports in Orthopedics Pub Date : 2021-10-31 eCollection Date: 2021-01-01 DOI:10.1155/2021/1768529
Hamed Ghoddusi Johari, Mohammad-Ali Erfani, Amirhossein Erfani, Reza Shahriarirad, Mohammad-Mehdi Karami
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引用次数: 0

摘要

动脉性假性动脉瘤几乎可以出现在所有动脉中,但外周性假性动脉瘤如肱动脉假性动脉瘤是罕见的,通常发生在创伤或感染后。我们描述了一个8岁的男孩,他在肱骨髁上骨折用克氏针固定后20天出现了一个大的无搏动性软组织肿块样病变。神经血管检查正常;CT血管造影显示一巨大的假性动脉瘤,起源于左肱深动脉。患者接受了手术修复,出院后顺利出院。对于肱骨骨折的假性动脉瘤的早期诊断,高度的怀疑是必要的,因为延迟的诊断可能导致致命的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Profunda Brachii Pseudoaneurysm following Supracondylar Fracture of Humerus Repair in an 8-Year-Old Boy: A Case Report and Review of Literature.

Arterial pseudoaneurysm can manifest in almost all arteries, but peripheral ones such as brachial artery pseudoaneurysm are rare and typically happen after trauma or infections. We describe an 8-year-old boy who presented with a large nonpulsatile soft tissue mass-like lesion 20 days after supracondylar fracture of the humerus which was fixed using Kirschner wire. The neurovascular examination was normal; CT angiography revealed a large pseudoaneurysm arising from the left profunda brachii artery. The patient went under surgical repair and was discharged from the hospital with an uneventful postop course. A high index of suspicion is necessary in cases with humeral fractures for the early diagnosis of pseudoaneurysm where the delayed diagnosis may cause fatal outcomes.

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