真性孤立股浅动脉瘤伪装成动脉栓塞——1例个案报道
True Isolated Superficial Femoral Aneurysm Masquerading as Arterial Embolism—A Case Report
DOI: 10.12677/ACM.2022.125670, PDF,   
作者: 袁晓庆*, 苏晓雪, 刘 月, 欧明辉#：青岛大学，山东 青岛；李晨冬：青岛市市立医院，山东 青岛
关键词: 动脉瘤；真性股浅动脉瘤；腔内修复术；漏诊；Aneurysm； True Superficial Femoral Aneurysm； Endoluminal Repair； Missed Diagnosis
摘要: 真正孤立的股浅动脉瘤(superficial femoral artery aneurysms, SFAAs)是罕见的。在本文中，我们报告一例73岁男性的SFAAs伪装成动脉栓塞的病例，患者瘤体位置在股浅动脉的远端三分之一，其内充满附壁血栓，超声往往很难识别，过往体检中并未发现SFAAs，患者因“左下肢疼痛1周，加重1天”来我院就诊，住院前行超声检查也未发现动脉瘤的存在，以动脉栓塞收入我科，住院后行CTA检查才得以明确诊断。目前尽管诊断技术有所改进，但SFAAS延迟破裂或漏诊误诊的风险仍然存在。
Abstract: Truly isolated superficial femoral artery aneurysms (SFAAs) are rare. In this article, we report a case of a 73-year-old man with SFAAs masquerading as arterial embolism. The patient’s aneurysm was located in the distal third of the superficial femoral artery and was filled with wall thrombus, which is often difficult to identify on ultrasound. The patient came to our hospital with “left lower limb pain for 1 week, aggravated for 1 day”, and the aneurysm was not detected by ultrasound ex-amination before hospitalization. The risk of delayed rupture or missed misdiagnosis of SFAAS still exists despite the improvement of diagnostic techniques.
文章引用：袁晓庆, 苏晓雪, 李晨冬, 刘月, 欧明辉. 真性孤立股浅动脉瘤伪装成动脉栓塞——1例个案报道[J]. 临床医学进展, 2022, 12(5): 4638-4643. https://doi.org/10.12677/ACM.2022.125670

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