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2008, Número 1

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Rev Hosp Jua Mex 2008; 75 (1)


Pseudoaneurisma de arteria hipogástrica con perforación de sacro y absceso glúteo: reporte de un caso

Reyes SG, Zaldívar RO, Parra SI, Girón MJ, Guerrero RLI, Hernández LGD, Olivares BD

Idioma: Español
Referencias bibliográficas: 36
Paginas: 68-72
Archivo PDF: 173.03 Kb.


RESUMEN

Los pseudoaneurismas de la arteria hipogástrica son raros, generalmente secundarios a trauma penetrante o contuso. Representan menos de 1% de todos los aneurismas y generalmente se presentan en la arteria glútea superior o inferior. Se reporta el caso de un paciente masculino de 25 años con antecedente de lesión por arma de fuego en región glútea derecha, el cual desarrolló cinco años después un absceso glúteo posterior a un traumatismo contuso; se realizaron estudios radiológicos en los cuales se observó destrucción del hueso sacro y en la arteriografía un falso aneurisma de la arteria hipogástrica derecha. Su tratamiento consistió en ligadura de la arteria hipogástrica, desbridación y lavado quirúrgico. El tratamiento puede ser quirúrgico o con técnicas de invasión mínima como la embolización durante la arteriografía. El aneurisma puede ser tratado con ligadura de la arteria hipogástrica, lo cual es una alternativa en situaciones de urgencia.


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