遺残坐骨動脈瘤の1例  [in Japanese] PERSISTENT SCIATIC ARTERY ANEURYSM  [in Japanese]

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Abstract

遺残坐骨動脈瘤は,胎生期に存在しその後消退する坐骨動脈が遺残し瘤形成をきたした極めて稀な疾患である.今回,遺残坐骨動脈瘤に対して経カテーテル的コイル塞栓術を施行した1例を経験したので報告する.<br> 症例は79歳,女性.左臀部拍動性腫瘤を主訴に来院.造影CTにて左臀部に最大径約4cmの遠位部に血栓を有する腫瘤を認めた.また,血管造影では左内腸骨動脈の拡張およびそれと連続して緩徐に造影される瘤を認めた.動脈瘤と膝窩動脈との交通はなかったため,不完全型左遺残坐骨動脈瘤の診断にてコイル塞栓術のみを施行した.術後左腎部の拍動性腫瘤は消失し,血管造影検査および造影CT検査でも瘤の血栓閉塞を認めた.

The sciatic artery is embryonic and thereafter ordinarily regresses. Only rare does the artery persist to form an aneurysm. We report a case of persistent sciatic artery aneurysm treated by transcatheter coil embolization.<br> A 79-year-old woman was admitted due to a pulsating mass in the left buttock. Enhanced computed tomography (CT) revealed an aneurysm about 4cm in diameter with a thrombus of the left buttock. Angiography showed dilation of the internal iliac artery and an accompanying aneurysm that did not supply the lower extemity. We conducted only percutaneous transcatheter coil embolization with a diagnosis of imcomplete persistent sciatic artery aneurysm. The pulsating mass in the left buttock disappeared after surgery and CT and angiography showed occlusion of the aneurysm with the thrombus.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(3), 824-826, 2001-03-25

    Japan Surgical Association

References:  12

Cited by:  3

Codes

  • NII Article ID (NAID)
    10008389222
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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