症例報告
肝硬変による出血傾向を伴う浅側頭動脈仮性動脈瘤の１例
2014 年 37 巻 1 号 p. 45-48
詳細
2014 年 37 巻 1 号 p. 45-48
Pseudoaneurysm of the superficial temporal artery (STA) is found as a pulsatile cystic mass in a temporal area, but is rarely reported. We report a case of pseudoaneurysm of the STA in a patient with cirrhosis who has a tendency to bleed.
A 53-year-old man presented with a pulsatile mass in the left temporal region which developed a month after head injury from a bicycle accident after drinking. The mass was 3 cm in diameter and compressible, and decreased in size after manual compression of the proximal STA. 3D-CT Angiography showed a pseudoaneurysm of the left STA. At first, we treated the pseudoaneurysm with conservative treatments because of the tendency to bleed caused by cirrhosis. But the pseudoaneurysm kept growing and formed ulcer in the top of the pseudoaneurysm, therefore we resected the pseudoaneurysm with ligation of the proximal and distal ends of the STA. There is no recurrence after the resection of the pseudoaneurysm.
The pseudoaneurysm of STA could not be cured by the conservative treatments in this case. Surgical resection of the pasudoaneurysm of STA should be recommended even though a patient has risk factors such as a tendency to bleed.
