病例报告:微不足道的膝关节过伸导致的网状腘动脉假性动脉瘤。

IF 0.6 Q4 SURGERY
Sriskantharajah Varothayan, Satchithanantham Vinojan, Rajahram Dhadchayini, Sivakumaran Gobinath, Paramanathan Shathana
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引用次数: 0

摘要

简介腘动脉假性动脉瘤在没有伴有骨折的钝性外伤后很少见,通常会延迟出现。我们介绍了一例在轻微平民创伤后早期出现的病例:一名 66 岁的男子在一次轻微的膝关节过伸损伤后出现左腿疼痛和肿胀。超声波检查发现腘动脉假性动脉瘤,CT 血管造影证实了这一点。使用插管移植术进行的开放手术修复获得成功。术中发现腘绳肌后动脉有一条3厘米长的线性裂口,同侧腘绳肌撕裂:讨论:腘绳肌撕裂是一种典型的延迟症状,因此很难早期发现。我们的病例强调要对腘动脉假性动脉瘤保持怀疑,尤其是在膝关节轻微损伤后。及时进行影像学检查和干预对减轻潜在并发症至关重要:结论:膝关节轻微外伤引起的腘动脉假性动脉瘤非常罕见,但腿部疼痛和肿胀的患者应考虑该病。早期发现和手术干预对预防并发症至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case report: Retrogenicular popliteal artery pseudoaneurysm following trivial knee hyperextension.

Introduction: Popliteal artery pseudoaneurysm is rare after blunt trauma without associated bone fracture, usually presenting in a delayed fashion. We present a case of early presentation following minor civilian trauma.

Case presentation: A 66-year-old man presented with left leg pain and swelling after a trivial knee hyperextension injury. Ultrasound revealed a popliteal artery pseudoaneurysm, confirmed by CT angiogram. Open surgical repair with interposition graft was successful. Intraoperatively, a 3 cm linear laceration in the retrogenicular popliteal artery and ipsilateral hamstring tear were noted.

Discussion: Delayed presentation is typical, making early detection challenging. Our case emphasizes maintaining suspicion for popliteal artery pseudoaneurysm, especially after trivial knee injuries. Prompt imaging and intervention are crucial to mitigate potential complications.

Conclusion: Popliteal artery pseudoaneurysm from minor knee trauma is rare but should be considered in patients with leg pain and swelling. Early detection and surgical intervention are vital to prevent complications.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
1116
审稿时长
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