- 期刊
Trauma-related True Aneurysm of the Superficial Temporal Artery: Report of a Case
創傷有關之淺顳動脈真血管瘤：病例報告
摘要
創傷有關之淺顯動脈真血管瘤個案是少見的。我們報告一位23歲男性，於四星期前顯面創傷處，形成一個不痛、但會跳動的腫瘤。術前檢查包括超音波及打顯影劑腦部腦電腦斷層，皆傾向於假性血管瘤之可能性。手術時，將血管瘤近端及遠端血管結紮並切除。病理報告爲真性動脈血管瘤。病理形成原因可能與動脈創傷後管壁退化有關。我們建議：若有相同案例，可考慮在鄰近血管瘤處多切一小部份不尋常的血管，以檢查是否有先前已有結構不良的血管存在。
關鍵字
無資料並列摘要
Trauma-related aneurysm of the superficial temporal artery is rare. We report a 23-year-old man who developed a painless pulsating temporal mass on his previously contused area four weeks after blunt trauma. Preoperative investigation including duplex ultrasound and enhanced brain tomography suggested a pseudoaneurysm. Surgical resection of the mass via proximal and distal artery ligation was performed. Pathological examination of the mass revealed a true arterial aneurysm. The pathogenesis of the true aneurysm formation in this case could be related to the arterial wall degenerative change due to trauma. We suggest that surgeons encountering similar cases consider sampling a small segment of ”unsual” artery near the aneurysm to investigate the possibility of pre-existing dysplastic blood vessels.
延伸閱讀
- 黃玉晴、王韋翔、李志明、曾秀學（2020）。傳統腦血管造影發現創傷性頸動脈海綿竇瘻管罕見案例報告。醫學與健康期刊，9(2)，97-102。https://www.airitilibrary.com/Article/Detail?DocID=23046856-202007-202010080015-202010080015-97-102
- Liu, K. W., Chen, H. H., Tseng, G. C., Chang, S. C. N., & Hsu, Y. C. (2012). 創傷有關之淺顳動脈假性動脈瘤—兩個個案報告及文獻探討. 臺灣整形外科醫學會雜誌, 21(1), 48-53. https://doi.org/10.7096/TJTSPS.201203.0048
- Chen, C. L., Sheu, J. W., & Chang, T. H. (2002). 創傷引起之動脈門靜脈瘻管：病例報告. 中華民國急救加護醫學會雜誌, 13(3), 103-108. https://doi.org/10.30018/JECCM.200209.0002
- Weng, P. K., Lin, Y. S., Chen, F. H., & Wang, H. W. (1997). 淺顳動脈創傷性血管瘤－病例 報告. 中華民國耳鼻喉科醫學會雜誌, 32(6), 707-714. https://doi.org/10.6286/1997.32.6.707
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