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亚齐戈斯静脉伪动脉瘤二次于的胸部创伤:一个病例报告
Creighton Kellum1, Lou Smith1,2, Bracken Burns1
1Department of Surgery, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Cureus
|November 11, 2024
概括
亚齐格斯静脉动脉瘤 (AVA) 和伪动脉瘤 (AVP) 是罕见的,通常是偶然的发现. 这一案例表明,保守的管理可能对小,无并发性创伤性AVA/AVP有效,支持非侵入性方法.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 阴性静脉动脉瘤 (AVA) 和伪动脉瘤 (AVP) 是不常见的血管异常.
- 它们通常无症状,并被偶然诊断出来,常见原因是异常,先天性或升高的中央静脉压力.
- 亚齐戈斯静脉的创伤性损伤,特别是来自重的创伤,非常罕见.
研究的目的:
- 报告一个罕见的创伤性形静脉伪动脉瘤 (AVP) 病例,该病例是在重的创伤后发生的.
- 讨论创伤性AVA/AVP的诊断挑战和治疗选择.
- 在创伤性AVP的特定情况下评估保守管理的有效性.
主要方法:
- 一个44岁的女性在机动车碰撞后患有伪动脉瘤的案例报告.
- 审查之前的医学成像,以确认没有先前存在的动脉瘤疾病.
- 后续成像以评估伪动脉瘤的自然过程和对管理的反应.
主要成果:
- 患者在发生机动车辆事故后遭受重创伤后出现了AVP.
- 之前的成像证实,没有任何先前存在的阿齐戈斯静脉病理,确定创伤病因.
- 随访成像显示,伪动脉瘤在没有干预的情况下完全自发地消失.
结论:
- 创伤性阿齐戈斯静脉损伤很少见,没有确立的治疗指南.
- 保守的管理可以是一个可行的选择,小,无复杂的创伤性AVA/AVPs.
- 这一案例突显了自发性解决的潜力,并支持在精选患者中采用少入侵的方法.
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